Providers

Pharmacy providers must enroll with HHSC through the Provider Enrollment and Management System (PEMS) before providing outpatient prescription services and participating in any managed care network. MCOs must allow any pharmacy provider willing to accept the terms and conditions of their contract to enroll in their network. Pharmacies providers should contact the client's specific MCO to participate in Medicaid or CHIP managed care networks.

PEMS Information

Enrollment Process

Operations