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Welcome Providers

Contracted providers are an essential part of delivering quality care to our members. We value our partnership and appreciate the family-like relationship that you pass on to our members.

Our new Provider portal is now live!

Login or Request New Account

We made this change to continue to improve both our Provider and Member experiences and to integrate with Cook Children's Health Care System's Epic software

With our new Provider portal, you will still have all the functionality that the Legacy Secure Provider portal offered. However, the new and improved Provider portal processes all information in real time!

Additional Provider portal functions:

  • Check a Member's eligibility
  • View a Member's claim status
  • Submit claims appeals and reconsiderations
  • Submit prior authorizations
  • View and print reports on Members, authorizations and claims
  • Submit Provider demographic changes
  • Submit a request for an interpreter
  • And much more!

To make this a smooth and seamless process, we have pre-enrolled many of our Providers for their new portal account. For all pre-enrolled Providers, you should have received an email on August 31 from with your username and temporary password. This information is what you will need it to login to your new Provider portal.

If you did not receive this information and need to enroll for your new Provider portal account, you will need to complete the following five steps:

  1. Visit
  2. Select “Request Access for a new Health Plan Portal Account” and fill out the required information.
  3. Select the new “User Type” to be created and fill out the required information for each user who needs an account.
  4. Agree to “Terms & Conditions” and submit the request.
  5. In 1-3 business days, you will receive your login credentials via a secure email from Cook Children’s Health Plan

Note: the Legacy Secure Provider portal will contain historical Member data and will be active until March 2022. However, as of September 1, 2020, all new and updated Member information will only live within the new Provider portal.

What our Members have to say:

Cheyenne's Story

Tara's Story

Managed Care Report Cards

Annually, Texas Health and Human Services Commission (HHSC) develops report cards for each program and service area to allow Members to compare the Managed Care Organization's on specific quality measures. The managed care report cards for each program area are posted below and available for viewing on the HHS Website.

Updating Provider Information

Providers must inform the health plan of any changes to their contact information including address, telephone and fax number, group affiliation, etc. It is also important to submit any updates to panel status such as an update from a closed panel to an open panel as well as any changes to age restrictions. Providers must also ensure that the health plan has current billing information on file to facilitate accurate payment delivery.

Providers may submit demographic changes via our Secure Provider Portal or by completing the Provider Information Change Form located on our Provider Forms webpage. Email the change form to our Network Development team at​

Providers must also communicate changes to Texas Medicaid & Healthcare Partnership (TMHP). The TMHP Provider Information Management System (PIMS) User Guide (PDF) provides guidance on submitting demographic updates to TMHP. Providers can locate more information about TMHP Provider Information Management System (PIMS) on

In the event of an outage contact Provider Relations at 888-243-3312 or