Texas Medicaid Fax Number: TMHP and HHSC Lines

By Alexey Spasskiy · Published November 7, 2026 · 8 min read

Quick Answer: There is no single Texas Medicaid fax number. Providers fax fee-for-service prior authorizations to TMHP (Texas Medicaid & Healthcare Partnership) on a line for each service, such as 512-514-4212 for CCP, while STAR, STAR+PLUS and STAR Kids members' requests go to their health plan. Members send applications and renewals to Texas HHSC, ideally through YourTexasBenefits.com. Every number below was checked on 2026-11-13. For a practice that faxes TMHP every week, mFax Business gives you HIPAA-compliant faxing with a signed BAA.

Before you dial, work out which of two audiences you belong to. If you are a provider or a billing office, your Texas Medicaid fax number is a TMHP line, chosen by the service you are requesting. If you are a member or applicant sending eligibility papers, you deal with the Texas Health and Human Services Commission (HHSC), which runs Your Texas Benefits.

TMHP is the claims administrator for Texas Medicaid. It handles fee-for-service prior authorizations, claims and appeals on HHSC's behalf. The numbers below come from TMHP's Texas Medicaid Provider Procedures Manual (TMPPM), November 2026 edition, and from HHSC's forms and handbooks.

Texas Medicaid Fax Numbers at a Glance

Find your row, then read the section below it for what has to go with the fax. Each source is linked, and each was checked on 2026-11-13.

TMHP Fax Numbers for Prior Authorization

TMHP takes fee-for-service prior authorization requests by fax, mail, phone for some services, and online through its secure provider portal. The fax line depends on the service, as listed in the table above.

The November 2026 manual sets four rules for every faxed request:

1. Use the approved form. Requests sent by fax or mail must be on the service's own prior authorization form, with any attachments behind it.
2. Print a working fax number on the form, so TMHP can fax its response and any request for more information back to you.
3. Put only the last four digits of the client's Medicaid ID on the cover sheet. The manual says prior authorization cover sheets "must not contain any protected health information (PHI) per HIPAA," and that anything the reviewer needs belongs on the form, not the cover sheet.
4. Send one client per fax. Requests that bundle several clients are returned for resubmission.

The signature rules trip up many practices. A physician or dentist who knows the client's condition must sign and date the request, or, where allowed, an APRN or PA. TMHP accepts handwritten signatures and electronic signatures made with software that adds a system date and time stamp or the software's logo. It does not accept a photocopied or stamped signature, or a typed one without a digital stamp. TMHP also won't authorize dates of service earlier than the signature date.

Services You Can't Start by Phone

Home health providers can't open a new request or ask for an extension by phone. That covers skilled nursing and home health aide visits, physical and occupational therapy, durable medical equipment and expendable supplies. They go through the portal or by fax to 512-514-4209, and 1-800-925-8957 is for status questions only. Obstetric services providers also have to submit new requests and ultrasound extensions online, by fax or by mail.

Checking Status and Fixing a Denial

TMHP says a complete request can take up to three business days from receipt. For status, call the CCP and Home Health Status Line at 1-800-846-7470, the PCS line at 1-888-648-1517, or the TMHP Contact Center at 1-800-925-9126 for everything else.

If TMHP denies a request, you can resubmit it to the Prior Authorization Department with new or additional information for reconsideration. If it is denied a second time, or you have nothing new to add, the next step is an administrative appeal to HHSC with a copy of the denial letter.

Managed Care Members: Fax Their Health Plan, Not TMHP

Members enrolled in Medicaid managed care get their prior authorizations from their health plan. TMHP's manual says authorization requests for services a managed care organization (MCO) or dental plan administers "must be submitted to the client's MCO or dental plan" under that plan's own guidelines.

The Medicaid Managed Care Handbook names the programs:

• STAR covers acute care for children, newborns, pregnant women and some families.
• STAR Kids covers people 20 or younger who have a disability.
• STAR+PLUS covers adults 65 and older and adults 21 and older who have a disability.
• STAR Health covers most children in foster care, through one plan, Superior HealthPlan.
• Children's Medicaid dental runs through dental maintenance organizations, for most members 20 and younger.

Drug prior authorizations for these members go to the plan or its pharmacy benefit manager. The handbook warns that TMHP "does not have access" to the plans' prior authorization guidelines, so ask the plan, not TMHP. TMHP only handles a short list of "carve-out" services that it pays for directly.

Check the member's plan first, through TMHP eligibility verification, before you fax anything. A request faxed to TMHP for a managed care member lands on the wrong desk. Dual-eligible members may also have a Medicare plan with its own lines, as our guides to the Medicare fax number and the Wellcare fax number show.

Pharmacy Prior Authorization: The Texas PA Call Center

For fee-for-service patients, pharmacy prior authorizations go to the Texas Prior Authorization Call Center, part of HHSC's Vendor Drug Program, not to TMHP's medical units. TMHP's November 2026 contact appendix lists:

• New requests: fax 866-469-8590.
• Phone: 877-PA-TEXAS (877-728-3927).
• Reconsideration of a denial: fax Form 1322 to 866-617-8864, per HHSC's form page. Only the prescriber can ask, only after the call center denied the first request, and the form is not for new requests.

Managed care patients follow their own plan's pharmacy process instead. HHSC's Form 1322 page sends prescribers to its MCO Search tool to find each plan's pharmacy prior authorization line.

Claim Appeals: TMHP Doesn't Take Them by Fax

TMHP lists no fax line for claim appeals. Section 7 of the manual gives three ways to appeal a fee-for-service or carve-out claim: electronically, through the Automated Inquiry System (AIS) at 1-800-925-9126, or on paper. Paper appeals are mailed to Texas Medicaid & Healthcare Partnership, Appeals/Adjustments, PO Box 200645, Austin, TX 78720-0645.

TMHP must receive the appeal within 120 days of the date on the Remittance and Status (R&S) report that shows the claim. A claim TMHP denies again for the same reason can go to HHSC as a second-level appeal. Appeals for managed care claims go to the member's plan.

For a Practice That Faxes TMHP Every Week

Every row in the table above is a fax full of protected health information. A shared paper machine leaves request pages sitting in a tray. mFax Business gives your practice its own fax number and HIPAA-compliant faxing with a signed BAA. It encrypts with AES-256 at rest and TLS 1.2+ in transit, keeps audit logs and shows a confirmed-or-failed status on every fax, on web, mobile and desktop. Plans start from about $9/mo, and you build your own from the seats and pages you need.

That status matters for TMHP, which counts a request from the date it arrives. A delivered fax gives you a PDF receipt to file with the request. Our guide to the fax confirmation page explains what that record proves, and our HIPAA-compliant fax guide covers the BAA and audit-log side.

Members: Sending Documents to Texas HHSC

Applicants and members don't fax TMHP. Texas HHSC handles Medicaid eligibility, and its preferred route is online through YourTexasBenefits.com. HHSC's instructions for Form H1010 list four ways to submit the application: online, at a local office, by mail or by fax. The same form also serves as a request to renew Medicaid, SNAP and TANF.

The fax number needs care. HHSC's Form H1010 instructions (updated 7/2026) say "Households may fax the form to 877-477-2839." HHSC's Texas Works Handbook, section A-120, prints 877-447-2839 for a different form, the CHIP perinatal emergency services form H3038-P. The renewal form itself, H1010-R (edition 11/2025), prints "Fax: 1-877-447-2839. If the form is 2-sided fax both sides." So two HHSC documents print 877-447-2839 and the H1010 web page prints a number one digit off. We checked all three on 2026-11-13.

If you'd rather mail it, HHSC's address for the H1010 is Texas Health and Human Services Commission, P.O. Box 149025, Austin, TX 78714-9025. If you fax, keep the delivery receipt until HHSC confirms it has your papers.

How to Fax TMHP or HHSC Without a Fax Machine

You don't need a fax machine. A provider office uses mFax Business on its own team line, while a member faxing a renewal can use the consumer app. For a renewal or an HHSC form, open the mFax app and send it free for 7 days. It works on iPhone, iPad, Android, Windows, Apple-silicon Macs or in any browser.

If a fax fails, the reason is on the fax in your list. A busy line is retried automatically, while No fax tone means the number didn't answer as a fax line, so check it against the form. Our guides to a medical fax cover sheet and to faxing PHI securely cover the rest of the routine.

Fax Your Texas Medicaid Paperwork Today

For a practice or billing office, mFax Business gives you a team fax line, HIPAA-compliant faxing with a signed BAA, and a delivery receipt for every prior authorization, from about $9/mo with a plan you build yourself. For a member faxing one renewal, open mFax in your browser and send it free for 7 days. Either way, use the fax number printed on your form and keep the receipt.