Moving Your Practice to Texas: Credentialing Checklist
Enrollments are billed 50% at the start and 50% at submission; everything else 100% at the start.
- Flat PricesNo percentage of collections
- Half Now, Half at SubmissionFor every enrollment application
- Closed Network?Your choice of a refund or a credit
- Live Status TrackingCheck any application by reference number
A move to Texas touches every enrollment you have. The license, NPI record, Medicare enrollment, Texas Medicaid, each commercial plan, your CAQH (DataSpring) profile, your DEA registration and your malpractice policy all have to show Texas before claims there pay. Here is the order that works, with the Texas specifics.
The Checklist, Step by Step
- Get the Texas license. Physicians apply to the Texas Medical Board. Nurses and nurse practitioners apply to the Texas Board of Nursing. Every later step needs the license number, so start here. Texas is a member of the Interstate Medical Licensure Compact. If your current full license is in another member state that can serve as your state of principal license, the compact offers an expedited path to the Texas license. Texas is in the Nurse Licensure Compact. A nurse who moves their primary residence to another compact state applies for a license in the new home state. Nurse practitioner authority is licensed separately by the Texas Board of Nursing. Texas is a PSYPACT state. PSYPACT covers telepsychology and short temporary in-person work, not a permanent move, so a psychologist who relocates still needs a Texas license.
- Register with DEA for Texas. DEA registrations are state-specific: you need a registration in each state where you handle controlled substances, and the state license comes first. If you are leaving your old state, change the address on your current registration to Texas; if you will practice in both states, get a separate Texas registration.
- Cover Texas on your malpractice policy. Many policies are written for specific states. Ask your carrier to add Texas or write a new policy before your first patient there, and settle tail or prior-acts coverage if you are leaving your current carrier.
- Add the Texas location to your NPI record. Your NPI does not change. Log in to NPPES and add the Texas practice location within 30 days of the change. If you still practice in your old state, keep that location too; an NPI record can list more than one practice location. Payers check applications against this record, so update it before you apply.
- Update and re-attest your CAQH (DataSpring) profile. Add the Texas practice location, the Texas license, the new DEA registration and the malpractice certificate that covers Texas, then re-attest. Every commercial plan reads this profile, so do it before any commercial application goes out.
- Update Medicare in PECOS. Medicare in Texas is handled by Novitas Solutions, jurisdiction JH. If your current enrollment is with a different contractor, file a new CMS-855I with Novitas Solutions; the 855I covers only practice locations inside one contractor's jurisdiction. If Novitas Solutions already has your enrollment, add the Texas location to it. If you will bill through a group, file the reassignment to that group at the same time. The effective date is the later of the filing date or the date you began seeing patients at the new location (42 CFR 424.520(d)), and you can bill up to 30 days before it when circumstances kept you from enrolling earlier (42 CFR 424.521(a)). File as soon as you have the license and the address.
- Enroll in Texas Medicaid. Texas Medicaid is run by the Texas Health and Human Services Commission, and enrollment is filed through the TMHP Provider Enrollment and Management System (PEMS). Medicaid enrollment does not transfer between states, so a new state means a new enrollment. Most Texas Medicaid members are in managed care plans, and each plan credentials you separately once the state enrollment is active. Step by step: TMHP Provider Enrollment: Texas Medicaid Step by Step. The plans and how to join each one: Texas Medicaid managed care plans.
- Get credentialed with Blue Cross and Blue Shield of Texas and the other commercial plans. Blue plans in Texas: Blue Cross and Blue Shield of Texas. Blue plans are separate companies licensed state by state, so a Blue contract in your old state does not cover Texas; apply as a new provider. National plans such as Aetna, Cigna, UnitedHealthcare and Humana need the Texas location added and credentialed before they pay claims there. Texas law gives commercial plans 90 days to make a credentialing decision, counted from an application for participation, for HMOs (28 Tex. Admin. Code § 11.1402). How to join: Blue Cross and Blue Shield of Texas.
While you wait in Texas: Expedited credentialing: physicians and certain others joining an established contracted group are paid in-network once their information is submitted, pending approval.
What PECS Charges for a Move to Texas
| Service | Price | Billing |
|---|---|---|
| Medicare enrollment or new location, with reassignment | $500 per provider | 50% at engagement, 50% at submission |
| Texas Medicaid enrollment | $500 per provider per state | 50% at engagement, 50% at submission |
| Each commercial plan, including Blue Cross and Blue Shield of Texas | $200 per plan per provider | 50% at engagement, 50% at submission |
| CAQH (DataSpring) update and re-attestation | $250 per provider | At engagement |
| NPI record update | $100 | At engagement |
| Group onboarding, for a new group in Texas | $500 one time | At engagement |
Example: one provider moving to Texas with Medicare, Texas Medicaid, the CAQH update, the NPI update and 3 commercial plans is $1,950. We follow up with every payer until each application is approved, and you can check status any time with your reference number.
Questions About Moving to Texas
How long does it take to move my credentialing to Texas?
The Texas license comes first, and its timing is set by the board. After that, Medicare through Novitas Solutions typically takes 45 to 90 days and Texas Medicaid typically 60 to 120 days. Texas law gives commercial plans 90 days to make a credentialing decision, counted from an application for participation, for HMOs (28 Tex. Admin. Code § 11.1402). Run Medicare, Texas Medicaid and the commercial applications in parallel once the license, NPI record and CAQH (DataSpring) profile show the Texas address.
Do I need a new NPI when I move to Texas?
No. Your NPI stays the same for life. Add the Texas practice location to your record in NPPES within 30 days of the change (45 CFR 162.410(a)(4)). If you still practice in your old state, keep that location as well; an NPI record can list more than one practice location.
Do I need a new Medicare enrollment to practice in Texas?
It depends on your current contractor. Texas is served by Novitas Solutions, jurisdiction JH. If your current enrollment is with a different contractor, you file a new CMS-855I with Novitas Solutions in PECOS, plus a reassignment if you bill through a group. If Novitas Solutions already handles your enrollment, you add the Texas location instead. The effective date is the later of the filing date or the date you started at the new location (42 CFR 424.520(d)), and you can bill up to 30 days before it when circumstances kept you from enrolling earlier (42 CFR 424.521(a)).
Can I use a licensure compact to practice in Texas?
Texas participates in the Interstate Medical Licensure Compact, the Nurse Licensure Compact and PSYPACT. It is not in the Counseling Compact. The medical compact speeds up getting the license; it does not replace it, and payer enrollment still has to be done in the new state. PSYPACT covers telepsychology and short temporary practice, not a permanent move.
Do I need a new DEA registration for Texas?
Yes. DEA requires a separate registration in each state where you handle controlled substances, and the state's licensing requirements have to be met first. If you are leaving your old state, you can change the address on your current registration to Texas; if you will practice in both states, you need a Texas registration as well.
What does PECS charge to move my credentialing to Texas?
Medicare enrollment or new location $500 per provider, Texas Medicaid enrollment $500 per provider, each commercial plan $200 per plan per provider, CAQH (DataSpring) update and re-attestation $250, NPI record update $100, and group onboarding $500 one time if you are setting up a new group. Enrollments are billed 50% at engagement and 50% at submission. One provider with Medicare, Texas Medicaid, the CAQH update, the NPI update and 3 commercial plans is $1,950.
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Answers cover PECS services, prices and process. For legal, tax or clinical questions please consult a professional.
Sources
- Texas Medical Board
- CMS-855I Medicare enrollment application (practice locations in another MAC jurisdiction need a separate 855I)
- 42 CFR 424.520(d): effective date of billing privileges
- 42 CFR 424.521(a): billing up to 30 days before the effective date
- 45 CFR 162.410(a)(4): report NPI data changes within 30 days
- DEA Diversion Control: registration FAQ (separate registration in each state)
- Interstate Medical Licensure Compact member list (CSG)
- Nurse Licensure Compact (NCSBN)
- PSYPACT map
- Counseling Compact map
By the PECS credentialing team, updated October 20, 2026. Compact memberships and board names checked in October 2026; confirm with the board before you apply.