The Texas Medicaid Pharmacy Provider Enrollment Application requires applicants to indicate their sources for pharmaceutical products. Covered entities participating in the HRSA 340B Drug Pricing Program are required to identify in the proper field of the application to denote that the entity is eligible to purchase products under through the HRSA 340B program. Download the Texas Medicaid Pharmacy Provider Enrollment Application to enroll with VDP.
Once contracted, it is the responsibility of the covered entity to ensure the information submitted in their application remains current, including the names of pharmacists working at the pharmacy. Refer to the "Pharmacy Enrollment and Support" section of the Contact Information chapter of the PPPM for submitting updates to the original application.
Providers cannot be enrolled in Texas Medicaid if their licenses are due to expire within 30 days. Generally, to be eligible to participate in Texas Medicaid, a provider must:
- Enroll in Medicare.
- Complete the TMHP enrollment process by submitting a paper Texas Medicaid Enrollment Application or by submitting an electronic application via the Online Provider Enrollment Portal (PEP).
- Submit a signed Texas HHS Medicaid Provider Agreement.
- Pay an application fee as required of institutional providers (42 CFR Section 455.460).
- List all the Texas-issued Medicaid vendor number(s) and NPIs with HRSA and make their Medicaid exclusion known.
Refer to the "Texas Medicaid and Healthcare Partnership" section of the Contact Information chapter of the PPPM for provider enrollment information.