If you do not pick a PCP, one will be chosen for you. A nurse will answer your health care questions and help you get the care you need. Meet the Grow Well app, available now to FirstCare Medicaid/CHIP members at no charge. Most popular medical specialty of providers who accept Texas Children's Health Plan: Dentist. Learn how to enroll. But some types of care need prior authorization, or approval, before you get them. This program covers office visits, prescription drugs, eye exams, glasses and much more. Need help getting a ride to a checkup. Apply for Texas STAR (Medicaid) Get Started. WebIf you are in Managed Care, please go to your health plan's provider list or call your health plan for more information. STAR health plans also offer value-added services extra services you can get in addition to your Medicaid benefits. WebAs a Blue Cross and Blue Shield of Texas (BCBSTX) STAR member, you can find many network providers in the Travis service area. Important provider information. STAR is a Medicaid program for low-income families, children, and pregnant women. What is STAR? STAR Provider Directory Medicaid for Pregnant Women Medicaid for Pregnant Women covers a childbearing woman of any age. This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) We update it for you every day. Available in Dallas, El Paso, Harris, Hidalgo and Jefferson Service Areas. Find a Provider - Community First Health Plans - Medicaid We can give you info about your doctors: Questions? Community Health Plan was started in 1999 by Parkland Health as a managed care organization to provide services for Texas STAR Medicaid and Childrens Health Insurance Program (CHIP) recipients. If you want to remain on these pages, click Cancel or close this box. Resource Center For each PCP listed you will find: 1. To find a provider, visit https://providersearch.communityhealthchoice.org or call Member Services at 713.295.2294 or toll free at 1.888.760.2600. If you are outside of our service area, benefits are limited to emergency care. Medicaid removal in Texas brings stress as 500,000 people Find a Doctor It is characterized by restricted, repetitive patterns of behavior, interests, or activities and deficits in social communication and social interaction, with onset of symptoms occurring in early childhood. WebFind an in-network doctor from over 1,000 insurance plans Add your insurance to see in-network primary care doctors. After a person chooses a managed care organization, like Community Health Choice, to provide their healthcare, they then choose a Primary Care Provider to give them all their primary care services. Find urgent care when you need it. Check your benefit plan to determine if these services are available. 7-1-1 TDD for Hearing-Impaired. Answer a few quick questions to see what type of plan may be a good fit for you. Prescription drug coverage. Find a Doctor FirstCare - STAR Medicaid and CHIP Health Plans in Texas with Were happy to provide you with the details of your health plan. Services may not be available at all times, or in all locations, or for all members, and visit limits may apply. Local: 832.CHC.CARE (832.242.2273) | Toll-Free 1.844.297.4450Monday through Friday8:00 a.m. to 5:00 p.m. Community Health Choice Member ServicesPhone: 1.888.760.2600, Envolve Vision STAR MembersPhone: 1.844.686.4358Web site:https://visionbenefits.envolvehealth.com, (Medicaid/CHIP/CHIP Perinatal)Local: 2-1-1 | Toll-Free: 1.877.541.7905. Call Access2Care to get an interpreter. This site contains documents in PDF format. If you're enrolled in a Medicaid plan, you can choose to change your health plan at any time. In case of an emergency, call 9-1-1 or go to the nearest hospital. State and federal government websites often end in .gov. Visit the Supplier Directory. Walgreens reserves the right to discontinue the offer at its discretion. Learn about dual health plan benefits, and how theyre designed to help people with Medicaid and Medicare. This plan gives you a choice of doctors and hospitals. Much more! Medicaid Members: Continuous Medicaid coverage will end on March 31, 2023. STAR | Blue Cross and Blue Shield of Texas WebIf you have questions about the BCBSTX CHIP Plan, call 1-888-657-6061 ( TTY: 711) . Before you get started, let's see if this plan is available in your ZIP code. WebBenefits under STAR Health. Already a member? Member ServicesLocal: 713.295.2294 | Toll-Free: 1.888.760.2600Monday through Friday (excluding State-approved holidays) 8:00 a.m. to 6:00 p.m. Long-term services and supports includes things like: Help in your home with basic daily activities. WebWe can help you find a doctor. WebMedicaid and CHIP Financial Statistical Report Agreed Upon Procedures Results; Medicaid and CHIP Members Menu button for Medicaid and CHIP Members"> CHIP; Choosing a This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare and does not have any other comprehensive health Insurance, except Medicare. Hearing tests. Member information is available in paper form, at no cost, upon request, and sent by the health plan within five business days. Providers | STAR Plus | Molina Healthcare Texas PDF (Portable Document Format) files can be viewed with Adobe Reader. Read more here about the State Fair Hearing process. Discount valid only for in-store purchases of eligible Walgreens brand health and wellness products by current members eligible for the United Healthcare discount program. Referral Process For more information, call UnitedHealthcare Connected Member Services or read the UnitedHealthcare Connected Member Handbook. If you cant find your doctor or if you need help, call Our directories include all type of network providers: Find a vision provider at Superior Vision, Family doctors and general practitioners (GPs), Pediatricians (for kids) And OB/GYNs (for women), Federally qualified health clinics (FQHCs) and rural health clinicals (RHCs), Professional qualifications, specialties and board certification, Medical school attendance and residency completion, Finding the provider youre looking for, Finding a provider outside our service area, Making an appointment using three-way call with the provider. Superior HealthPlan offers health insurance plans that fit your needs. CHIP Members get well-child exams from birth through 18 years of age. When you join STAR, you pick a primary care provider (PCP) to manage your health care and treatment. Contact Us Texas STAR - Community Health Choice Unless otherwise required, benefits are available only when services are delivered through a Designated Virtual Network Provider. Out-of-network/non- contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Its important that you choose a primary care provider (PCP). How do I find a Primary Care Provider or clinic? Superior HealthPlan offers health insurance plans that fit your needs. They may recommend a Provider that meets your childs needs. These programs are at no cost to U.S. residents who cannot afford health insurance. WebAccess to medical specialists and mental health care. The service is not an insurance program and may be discontinued at any time. Read the Appeals section of the Member Handbook for more information. Copyright 2016-2023. When you call to make an appointment with a specialist, you will be seen within (30) days. You should consult with an attorney licensed to practice in your jurisdiction before relying upon any of the information presented here. Updates to the formulary are managed by the Texas Vendor Drug Program. Call Member Services at 1-800-434-2347 or request a copy through the Member Portal, and well mail you one within five business days. Texas STAR STAR You can see any specialist with or without a referral. Search our Find a Doctor directory. After you're approved for Medicaid or CHIP, you must pick a health plan. Call us 48 hours before at 1-877-447-3101 (TTY 711) or download the Access2Care (A2C) app. By ensuring access to employer-sponsored health insurance, people who are eligible for HIPP can receive services that are not normally covered through Medicaid. Search our Find a Doctor directory. Some services that do not require a referral: Call Member Services at 210-227-2347 or toll-free at 1-800-434-2347 if you need help finding a provider or scheduling an appointment. Dental care. CHIP Perinatal members can change their plans during their first 120 days of enrollment. To find a provider, visit our provider search page or call Member Services at 713.295.2294, or toll free at 1.888.760.2600. Read the Privacy Notice section in our Member Handbook for more information. Prescription drugs. Primary care physicians, specialists, mental health providers and family planning providers, Hospitals, long-term care facilities and skilled nursing facilities for rehabilitation, mental health facilities, Federally Qualified Health Centers and Rural Health Clinics. All rights reserved. STAR or STAR Kids members: 1-800-516-0165. Print ID cards, chat with a nurse online, and more. For a list of covered services listed, view the Member Handbook. All Rights Reserved. Read about our service area coverage in our STAR Handbook. Other UnitedHealthcare Community Plan STAR+PLUS facilities and doctors These types of doctors are in the STAR+PLUS network. Some plans may require copayments, deductibles and/or coinsurance for these benefits. A directory will be mailed to you within 5 business days. If youre affected by a disaster or emergency declaration by the President or a Governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you. Texas As a Texas Childrens Health Plan STAR member, you get: Prenatal care. Post-service review Sometimes requests have to be reviewed after services have been provided. Hospital care and services. WebBehavioral health services. Providers You can choose any of these types of providers as your PCP: Check our provider directories to get more info on PCPs. The Texas Medical Board: www.tmb.state.tx.us. CHIP perinatal benefits include: Up to 20 prenatal visits. The Choice is Yours. Member Resources Texas STAR If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. This program also covers office visits, prescription drugs and eye exams as well as long-term services and support. Call us to get an interpreter. WebMedicaid Providers. ABA is a treatment approach provided by specialists called licensed behavior analysts (LBAs). You can use this tool to find and compare different types of Medicare providers (like physicians, hospitals, nursing homes, and others). If yes, choose one of the doctors as your PCP. State and federal government websites often end in .gov. You can review the list at https://www.txvendordrug.com/formulary/formulary-search. Texas Health & Human Services Commission. Make sure you are getting the services you need. Your PCP will take care of this request for you. Texas Medicaid Prescription Drug Services Community follows the state Vendor Drug Information may change at any time. Thousands of Texas kids lose Medicaid as part of unwinding | Fort If you cant find your provider or if you need help, call Member Services toll-free Community provides both Childrens Medicaid and Medicaid for Pregnant Women. ", Provider/Facility Name OR Specialty is required to continue. If you are a STAR+PLUS Member and qualify for Medicare you may be able to enroll as a dual eligible member. You can get advice from a nurse anytime. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. ATTENTION: PHONE LINES OPEN OFFICES CLOSED TO MEMBERS, Following CDC guidelines for COVID-19, for a limited time we do not have in-person customer service. Working with STAR Providers | Texas Children's Health Plan Copyright 2023 FirstCare Health Plans. Access2Care is available 24 hours a day, 7 days a week. Program eligibility depends on your age, income, family size and any special health needs you may have. UnitedHealthcare offers STAR plans for Texas and eligible counties. Medicaid Provider Services HotlineCall 713.295.2295, 8:00 a.m. - 5:00 p.m., Monday Friday, To ask for a State Fair Hearing, you or your representative should either send a letter to the health plan at, Community Health Choice Texas, Inc.Medical Appeals Department-Medical Affairs2636 South Loop West, Suite 125 Houston, TX 77054Phone: 713.295.2294 or toll-free at 1.888.760.2600Fax: 713.295.7033. STAR+PLUS is a program for adults with a disability, people age 65 and older, and women with breast or cervical cancer. We want you and your family to be happy and healthy. Below is a list of programs: If you don't choose a health plan, we will choose one for you. Compare value-added services offered by the health plans in your service area. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, Community is always working life forward for you and your family. Drug abuse services. Are You Eligible? You have a wide choice of primary care providers, specialists, hospitals and pharmacies. Vision and dental care. You can help by letting us know. It says how we can use or share your protected health information (PHI) and sensitive personal information (SPI). WebFinding the Right Care Matters. Your doctor or Service Coordinator must order services from these Find Star Medicaid - Community First Health Plans Texas Children's Health Plan providers listed on Doctor.com have been practicing for an average of: 20.1 year (s) Average ProfilePoints score for Providers who take Texas Children's Health Plan: 64/80. Community follows the state Vendor Drug Formulary for Medicaid and CHIP. Get more information about Access2Care transportation. A referral is a special kind of agreement between doctors that says the specialist will treat you. You might be able to get a case manager to help you. #222San Antonio, TX 78207. CHIP Perinatal members can change their plans for their first 120 days of enrollment. To report incorrect information, emailprovider_directory_invalid_issues@uhc.com. Provider Medicaid Are doctors you already use and like covered by the plan? WebMedical City Healthcare has experienced Doctors in Dallas, TX. You can also ask for an interpreter. X-rays and lab tests. Providers At FirstCare, our health plans were built in Texas and were a part of your community. 4 CO specific: $3 copays for Preferred generic drugs or something similar. You can allow or not allow us to share specific details unless needed by law. If you would like a specialist to be your PCP and the doctor agrees, you can call MemberServices toll-free at (866) 449-6849 or CHIP RSA (877) 319-6826 for help. STAR Health Members enrolled in Community Virtual Now Bronze 11 must use Doctors on Demand to access virtual health visits. Offer not available on the following items: photo orders, prescriptions, tobacco, dairy, alcohol, liquor departments, phone/prepaid/gift cards, money orders/transfers, transportation passes, lottery tickets, charitable donations, pseudoephedrine or ephedrine products, newspapers, magazines, stamps, home medical equipment and durable medical equipment products, pharmacy items and services, Prescriptions Savings Club membership fee, and items or services submitted to insurance for reimbursement or where otherwise limited by law. The material and information contained on these pages and on any pages linked from these pages are intended to provide general information only and not legal advice. If you are currently part of an IPA, please contact them to determine if they currently have an agreement in place with Community. Apply skills across everyday settings so they can improve their health, safety or independence. WebWe can help. Office Hours are 8:00 am to 5:00 pm Monday to Friday unless otherwise specified. The benefit information is a brief summary, not a complete description of benefits. The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. Before sharing sensitive information, make sure youre on an official government site. Eye exams and glasses. Directories are updated weekly. View all of our available health insurance plans below. UnitedHealthcare Dental. STAR Medicaid TMHP Texas These trips include transportation to the doctor, dentist, hospital, pharmacy, and any other place where you receive Medicaid services. Confusion and stress abound for 500,000 Texans bumped from Medicaid. It can be about your past, present or future physical or mental health conditions. Telehealth Our Customer Advocates will be happy to help you by phone by calling. Do you want to keep going there? FirstCare - STAR Medicaid Copyright document.write(new Date().getFullYear()) Aetna Better Health of Texas, All Rights Reserved. Find a Provider BCBSTX is pleased to offer health plans for individuals who qualify for Medicaid (STAR, STAR Kids) and CHIP programs. Provider Directory - UnitedHealthcare Community Plan Income determines eligibility. Enrollment in the plan depends on the plans contract renewal with Medicare. People across Texas shared their thoughts about their health plan, and rated them, one to five stars, on the services their plan provided. By the end of the unwinding process, Dagues research estimates that up to 750,000 Texans will lose their Medicaid health insurance. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, Community is always working life forward for you and your family. Help lines for STAR, STAR Kids and CHIP. Molina Healthcare Texas STAR Find a provider or pharmacy Community follows the Texas Vendor Drug Formulary for Medicaid and CHIP. Please correct the following errors and try again: Fill out this form to find providers and health care facilities near you. Find a Doctor; Menu. Call us at 866-959-2555. If you want to stay with the doctor you have now, ask them which plans they work with, or use the search tools available on the health plan websites to see if they are listed as a provider. Much more! To ask for an External Medical Review, the Member or the Members representative should either: Read more here about the External Medical Review Process. Find SNAP, TANF and Lone Star Card Information. Texas STAR (Medicaid) Plan - Community Health Choice Urgent concurrent review If your situation is urgent, we can review your situation quickly to avoid delays in care. Non-Emergency Medical Transportation Services, HHSC Policy Flexibility for Member Appeals Ended March 31, Medicaid Applied Behavior Analysis (ABA) Services for Children and Youth With Autism. Learn more. A 24/7 nurse hotline for caregivers and caseworkers. Program eligibility depends on your age, income, family size and any special health needs you may have. Medicaid Applied Behavior Analysis (ABA) Services for Children and Youth With Autism. Dental care for kids. Changes take between 15 to 45 days. Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non- contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities); Where applicable, requirements for gatekeeper referrals are waived in full; Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and. STAR Provider Directory WebWant to see if your Provider, specialist or hospital is in our network? This plan is not currently available in the ZIP code entered. You must qualify for Medicaid to become a STAR member. Community First Health Plans has bilingual health care specialists who can assist you over the phone. 24-hour Nurse Line: 1-844-787-5437. But some types of care need prior authorization, or approval, before you get them. CHIP members can only change their plans during their first 90 days of enrollment. We update it for you every day. Community First Provider Directories, Member Handbooks, and Member Newsletters are available in print, free of charge. When you pick a health plan, you will also choose a main doctor. MCNA Dental. Aetna Better Health of Texas members can see any provider in our network. Molina has a large group of specialists, therapists, clinics, and hospitals that can provide you with Medicaid services. Encourage positive and adaptive behaviors. Visit the Healthy Texas Women website for more information. Download the app from your app store. STAR (Medicaid) Member Services. Local: 713.295.2294 | Toll-Free: 1.888.760.2600Monday through Friday (excluding State-approved holidays) 8:00 a.m. to 6:00 p.m. Local: 713.295.2222 | Toll-Free: 1.877.635.6736Monday through Friday (excluding State-approved holidays) 8:00 a.m. to 6:00 p.m. To ask for a State Fair Hearing, you or your representative should either send a letter to the health plan at: Community Health Choice Texas, Inc.Medical Appeals Department-Medical Affairs2636 South Loop West, Suite 125Houston, TX 77054, Or call or fax us:Phone: 713.295.2294 or toll-free at 1.888.760.2600Fax: 713.295.7033. 3. WebUse the tools below to search our network for doctors, pharmacies, and vision and dental providers. Texas Medicaid WebBy Phone If you cant find your doctor or if you need help, call Member Services toll-free at 1-800-659-5764 (STAR Kids) Referral Process Your primary care provider will give you all your routine medical care and will refer you to a specialist or hospital when needed. WebFor help with choosing a Medicaid plan, call the STAR helpline at 1-800-964-2777, Monday to Friday, 8 a.m. to 6 p.m. TTY users call 1-800-735-2989. Prescription Drug Services Community follows the state Vendor Drug Formulary for Medicaid and CHIP. As a local nonprofit health plan, Community Health Choice gives you plenty of reasons to join our Community. My Account. Eligibility Texas STAR We review this notice annually and update if needed. Behavioral Health/Substance Abuse Benefits and Crisis Hotline, Behavioral Health/Substance Abuse Benefits, CHIP Perinate Unborn Value-Added Services. If you are a STAR Kids or STAR+PLUS member and are dual eligible, Medicare pays your doctor. You can learn about finding a provider and more on our FAQ page.Or contact us if you need help: You can also contact us if you find If you find provider info that isnt correct. Depending on your family size and income, you may even qualify for help to pay your monthly premium. Members must be at 185% or lower of the Federal Poverty Level (FPL). The Health Insurance Marketplace is an online list of health-care plans. STAR Members must recertify every year. Aetna Better Health ofTexas is not responsible or liable for non-Aetna Better Health content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Lost your Medicaid benefits? Network providers help you and your covered family members get the care needed. MDLIVE lets you talk to a doctor or specialist from the comfort of your home or work. STAR Medicaid benefits are available to you during pregnancy and up to 2 months after birth.
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