If a Provider or Facility is not a contracted Provider, the Provider/Facility must contact the El Paso Health Contracting and Credentialing Department regarding set up.
Out of Network Providers may submit the Provider Demographic Form, W-9 Form, and Texas Provider Identifier (TPI) Letter via email to
Contracting_Dept@elpasohealth.com or by fax to
915-298-7870.
To be reimbursed for services rendered to Medicaid Members, Provider must be enrolled in Texas Medicaid.
If an Out of Network Provider does not have a TPI number, the provider will not be eligible for reimbursement for services to a member participating in the STAR Medicaid Program.
An Out of Network Provider must notify the El Paso Health Contracting and Credentialing Department of the TPI assignment through a formal written notification which may be the Texas Medicaid & Healthcare Partnership (TMHP) approval letter.
Out of Network Providers are subject to non-participating provider authorization and reimbursement guidelines.
For more information, please reference the Out of Network Provider–Texas Provider Identifier section in the Provider Manual, which can be found on the
Provider Materials page.
