Texas mandates new IAMOnline portal and MFA for long-term care providers
What families need to know
Texas Medicaid providers must transition to the new IAMOnline portal with mandatory multi-factor authentication by August 24, 2026. This impacts how providers manage waiver and long-term care services.
Texas Medicaid is changing the way long-term care providers sign in to the systems they use to manage services. The new requirement is mainly for providers, but it is worth knowing about if your family relies on HCS, TxHmL, or other Medicaid waiver and long-term care services.
Starting August 24, 2026, affected providers must use the new TMHP IAMOnline platform and multi-factor authentication. If a provider does not complete the transition, they could lose access to important online tools used for service administration.
What is changing
The Texas Medicaid & Healthcare Partnership, also called TMHP, is moving long-term care portal access to IAMOnline. Multi-factor authentication, sometimes called two-step verification, will be required. Providers are expected to activate their accounts within seven days of receiving their instructions and follow the new account security rules.
Why families should know about this
This is not a change to your child’s eligibility or a new requirement for parents. It is a provider system change. Still, providers use these systems to handle information connected to Medicaid services, so an incomplete transition could create avoidable administrative delays.
What you can do
You do not need to create an IAMOnline account for your child. If you have an upcoming service authorization, plan meeting, or provider change, it may be helpful to ask your provider whether they have completed the TMHP transition.
What happens next
The deadline is August 24, 2026. TMHP will continue sharing instructions with affected providers. We will watch for any reports of family-facing service disruptions after the change takes effect.
Quick questions
Does this change my child’s Medicaid coverage?
No. This is an account and security change for providers, not a change to eligibility or covered services.
Do I need to take action?
Not directly. A quick check-in with your provider can be helpful, especially if your family has an important service deadline coming up.
Source: Texas Medicaid & Healthcare Partnership, Long-Term Care Bulletin No. 107