What is the payer ID for Medicaid Texas - CHIP?

The payer ID for Medicaid Texas - CHIP is 10186. Alternate IDs seen across clearinghouses include 1729, 5500, 6583, 76048.

How long does Medicaid Texas - CHIP provider enrollment take?

Medicaid Texas - CHIP provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Medicaid Texas - CHIP require CAQH?

Yes. Medicaid Texas - CHIP uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Medicaid Texas - CHIP require ERA enrollment?

Yes. Medicaid Texas - CHIP requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Medicaid Texas - CHIP cover?

Medicaid Texas - CHIP operates in TX (Houston area). Coverage can differ by plan and product line, so confirm the specific plan before you file.

Medicaid Texas - CHIP

Part of Texas Children's Hospital

Medicaid managed caredentalmedicalvision

Typical enrollment turnaround

60-90 days

Summary

Medicaid Texas - CHIP is a Medicaid managed care organization, part of Texas Children's Hospital, offering dental, medical, and vision coverage operating in Texas. Claims route under payer ID 10186, with 10 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through TX Children's Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID: 10186Also seen as 1729, 5500, 6583, 76048, MCNA1, MQMBR and 4 more
Also known as: Medicaid Texas MCNA Dental, TMHP/Texas Medicaid & Health Partnership (CHIP), Texas Children's Health Plan
Uses CAQH: YesApplication route: Payer portal application
Service area: TX (Houston area)

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Transaction	Enrollment	Typical setup
Eligibility checks (270/271)	Not required	Immediate
Claim status (276/277)	Not required	Immediate
Professional claims (837P)	Not required	Immediate
Institutional claims (837I)	Not required	Immediate
ERA / remittance (835)	Required	Several weeks

Common questions

What is the payer ID for Medicaid Texas - CHIP?: The payer ID for Medicaid Texas - CHIP is 10186. Alternate IDs seen across clearinghouses include 1729, 5500, 6583, 76048.
How long does Medicaid Texas - CHIP provider enrollment take?: Medicaid Texas - CHIP provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Medicaid Texas - CHIP require CAQH?: Yes. Medicaid Texas - CHIP uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does Medicaid Texas - CHIP require ERA enrollment?: Yes. Medicaid Texas - CHIP requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Medicaid Texas - CHIP cover?: Medicaid Texas - CHIP operates in TX (Houston area). Coverage can differ by plan and product line, so confirm the specific plan before you file.

Related payers

Texas Children's Health Plan75228

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.