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Updating CLIA Certifications in PEMS
The Texas Medicaid & Healthcare Partnership (TMHP) requires all laboratory service providers enrolled in its Medicaid program to upload their current Clinical Laboratory Improvement Amendment (CLIA) certificate in the state’s Provider Enrollment and Management System (PEMS).
Providers must update their CLIA certifications in the Provider Enrollment and Management System (PEMS) under the License/Certification/Accreditation link.
Important timelines:
As a TMHP managed care organization, we must verify laboratory certification using data from CMS and PEMS. To support timely and accurate reimbursement, CCHP will implement the following steps:
For dates of service between March 1 and May 31, 2026, we’ll include a notice in the Provider’s remittance advice (RA) if a CLIA certificate is missing, outdated or not reflected in PEMS
For dates of service on or after June 1, 2026, claims will be denied if the CLIA certificate is missing, outdated or not reflected in PEMS
Provider Relations
The Provider Relations team is here to help you and your office staff. If you would like to know who your Provider Relations Representative is or need assistance with registering for a Provider webinar please email cchpproviderrelations@cookchildrens.org.
