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Search results with tag "Texas medicaid provider enrollment"
Texas Medicaid Provider Enrollment Application - TMHP
www.tmhp.comPage v Enrollment Application Instructions Rev. XXXVII Revised 12/18/2017 EThective 01/01/2018 Out-of-State Incorporated Providers If the enrolling provider is incorporated in another state, the following additional forms must be submitted: • Corporate Board of Directors Resolution Form.