Texas Children's Health Plan

 

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Texas Children's Health Plan
 

Provider TouCHPoint allows you and your office staff easy access to payment information, member eligibility, a provider search engine and much more. Provider TouCHPoint, part of TCHP’s new core claims processing system, will replace ePower. Click on the logo to take you to Provider TouCHPoint!

 
 
   
   

Overview

Online eligibility and claims status

Fax recall

Quick reference guide

Provider handbook

Practice guidelines

 Utilization criteria

Pre-certification requirements

Pregnancy notification form

Provider News

Become a participating provider

Downloadable forms

Electronic claims submission

HIPAA transactions

Helpful links

Provider listings

Free CNE/CEU

NPI information

   
 
Overview

Texas Children’s Health Plan (TCHP) was founded in 1996 by Texas Children’s Hospital in response to the changing managed care environment faced by the pediatric physician and provider community. TCHP is licensed as an HMO within the State of Texas and was the first pediatric health plan in the nation. When initially founded, Texas Children’s Health Plan accepted global risk from other HMOs for pediatric populations.

As the managed care market in Houston has evolved, so has Texas Children’s Health Plan. Today, Texas Children’s Health Plan functions as an administrator for the Children’s Health Insurance Program (CHIP) and STAR Medicaid Managed Care.

Texas Children’s Health Plan is dedicated to meeting the health care needs of the pediatric population for all three products; however, for the STAR product, TCHP also administers benefits for the adult and pregnant women population.

Contact us
To contact Texas Children's Health Plan by phone, call one of the following numbers:

  • Network Managers832-828-1008
  • For claims, eligibility, benefits and medical management832-828-1004

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