Forms and Publications for Providers

On this page: CSHCN Services ProgramFamily Support ServicesMedical HomeContacts

Health Care Providers

Provider Application

To enroll in the CSHCN Services Program, go to the Enrolling in the CSHCN Services Program web page of TMHP. You can enroll online or print out the paper application form to complete and return to TMHP. If you have questions, call your local area TMHP Provider Relations representative. To find your area representative, go to the Provider Enrollment Regional Support web page or call 1-800-568-2413.

Physician/Dentist Assessment

The Physician/Dentist Assessment Form (PAF) is a key part of the application process for a family to apply for benefits from the CSHCN Services Program:

Provider Manual

In 2011 the CSHCN Services Program Provider Manual became an online document that is updated monthly. It is available on the Texas Medicaid and Healthcare Partnership (TMHP) website as a complete manual or as individual chapters.

Provider Bulletins

Before July 2011, the CSHCN Services Program Provider Bulletin was published four times a year to update the information in the CSHCN Services Program Provider Manual. Now that the provider manual is updated on a regular basis, the bulletin is no longer needed. The TMHP website has an archive of past issues of the CSHCN Services Program Provider Bulletin.


Contract Providers

The list of contract providers is now a Web page: Community Resources

Medical Home

Links to the agendas, minutes, and reference materials for the Medical Home Workgroup are on the Medical Home Workgroup webpage.


Family Support Services (FSS) Providers

If you are interested in being a provider who provides respite, home modification, home inspections, or vehicle modifications, your enrollment is handled directly through the CSHCN Services Program. You may call 1-800-252-8023 and ask for provider enrollment or click on the links below to obtain the CSHCN Services Program Family Support Services (FSS) Provider Enrollment Application and Agreement and the FSS Provider Manual.

The following forms are required for all FSS Providers:

The following form is also required for Home Health Agencies only:

The following is also required for Home Inspectors only:


Contacts

CSHCN Services Program Inquiry Line: 1-800-252-8023 

CSHCN Services Program
Specialty Health Care Services, MC 1938
P.O. Box 149347
Austin, TX 78714-9347

512-776-7355 -- Local 
512-776-7417 -- Fax

email CSHCN Services Program

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Last updated February 17, 2017