Out of Network Provider Enrollment
If a Provider or Facility is not a contracted Provider, the Provider/Facility must contact the El Paso Health Contracting and Credentialing Department regarding set up.
Out of Network Providers may submit the Provider Demographic Form and W-9 and Texas Provider Identifier (TPI) Letter via email to Contracting_Dept@elpasohealth.com or by fax to 915-298-7870.
Provider Demographic Form
W9 Form – Request for Taxpayer Identification Number and Certification
To be reimbursed for services rendered to Medicaid Members, Provider must be enrolled in Texas Medicaid. If an Out of Network Provider does not have a TPI number, the provider will not be eligible for reimbursement for services to a member participating in the STAR Medicaid Program. An Out of Network Provider must notify the El Paso Health Contracting and Credentialing Department of the TPI assignment through a formal written notification which may be the Texas Medicaid & Healthcare Partnership (TMHP) approval letter.
Out of Network Providers are subject to non-participating provider authorization and reimbursement guidelines.
For more information, please reference the Provider Manual, Out of Network Provider-Texas Provider Identifier.
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Tarjeta de regalo de $25 para Walmart, para miembros menores de 18 años que acudan a una visita de seguimiento con el psiquiatra a más tardar 7 días de estar hospitalizado por un problema de salud mental. Los miembros pueden recibir una tarjeta de regalo al año.
Una tarjeta de regalo de $15 para los miembros de hasta 20 años que acudan a tiempo a un chequeo médico de Pasos Sanos de Texas.
