The law requires that orders, referrals, and prescriptions for Medicaid services come from a Medicaid enrolled provider. If your main doctor will be ordering, referring, or prescribing Medicaid services, your doctor will need to be enrolled in Medicaid.
HHSC is working with private providers around the state to try to get them to enroll in Medicaid, but it is important for you to talk to your providers and tell them about how important it is to enroll with Medicaid, too. There are no fees to complete the process, and enrollment can be completed electronically or on paper. If your private provider is ordering, referring, or prescribing Medicaid services, they should visit the following links:
- Information for Ordering and Referring-Only providers
- Enroll Online: https://secure.tmhp.com/ProviderEnrollment
- Paper Application
After you have picked a health plan, your STAR Kids service coordinator should help coordinate between private providers and Medicaid (and Medicare) providers, if applicable.