Pharmacy staff must complete the Direct Deposit Authorization (CPA Form 74-176) to receive weekly payments through direct deposit. Pharmacy staff also use the form to change bank information, such as your financial institution or account number or cancel your account. An account change will result in the pharmacy provider receiving paper warrants until HHS Accounts Payable completes the authorization process. Submit the form through PEMS for processing. Refer to the TMHP Provider Enrollment page for further instructions or call the TMHP Contact Center at 800-925-9126.