New Rewards! ¡Nuevas recompensas!

Our Healthy Rewards Program is getting an update in September! For a sneak peek of all the changes - including new rewards and ways to redeem them - please click here.

¡Nuestro Programa Healthy Rewards tendrá su actualización en septiembre! Para ver un adelanto de todos los cambios, incluyendo nuevas recompensas y formas de canjearlas, haz clic aquí.

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Alerts

CMS Announces Resources to Assist with Texas Flooding Health Emergency

From July 2, 2025, through September 29, 2025, the Centers for Medicare & Medicaid Services (CMS) is offering resources and flexibilities to support individuals affected by the recent devastating floods, severe storms, and straight-line winds in Texas.

These flexibilities are available only upon request. Members must specify that their request is related to the 2025 Texas flooding in order to receive an extension.

  • Health Insurance Coverage for Disaster Victims:
    For more information, visit: FEMA SEP Guidance or Call 1-800-318-2596 and indicate FEMA disaster impact.
  • Medicaid and CHIP Toolkit:
    For more information, visit: Medicaid Disaster Response Toolkit.
  • Dialysis Services:
    CMS has activated the Kidney Community Emergency Response (KCER) program. The ESRD Network 14 (Texas) toll-free hotline is 1-877-886-4435. Additional information is available on the KCER website.
  • Medication Access (Part D plans):
    Part D plans must ensure enrollees have access to needed drugs, including from out-of-network pharmacies. "Refill-too-soon" restrictions should be lifted during this emergency. See Chapter 5, Sections 50.12 and 60.1 of the Part D Manual.

We encourage members who have been impacted to seek help by visiting CMS’ Emergency Preparedness Webpage. To find additional health sector resources, visit: PHE.gov Emergency Tools.

In-Lieu-of Services

In December 2022, the Texas Health and Human Services Commission amended its contracts with all managed care organizations (MCOs).

This revision allows Texas Children’s Health Plan to include two new Mental Health and Substance-Use Disorder services: Intensive Outpatient Program (IOP) Services and Partial Hospitalization Program (PHP) Services.

Each service is an alternative to inpatient hospitalization. This will allow our members to receive treatment and care while at home and help reduce inpatient hospitalization. However, there may be cases where hospitalization is necessary. Please work with your healthcare provider to decide if in-lieu-of services are right for you and your family’s needs.

If you have any questions, please call your provider or Member Services using the number on the back of your Member ID card.

Resources for Members During Severe Weather

If you are Texas Children’s Health Plan Member, we have tips that can help you deal with the severe weather. If you have a medical emergency, call 9-1-1 for help.

If you need help with disaster assistance, you can call 2-1-1. This will connect you with the State Emergency Assistance Registry.

Our Member Services team can also help you if you need to:

  • Replace medications or need an emergency refill
  • Replace your medical equipment or supplies
  • Get a new Member ID card
  • Arrange transportation
  • Find a doctor or get help for behavioral health issues

Member Service Phone Numbers

  • CHIP: 832-828-1002 (local), 1-866-959-6555, TTY 800-735-2989 (Texas Relay) or 7-1-1
  • STAR: 832-828-1001 (local), 1-866-959-2555, TTY 800-735-2989 (Texas Relay) or 7-1-1
  • STAR Kids: 832-828-1003 (local), 1-800-659-5764, TTY 800-735-2989 (Texas Relay) or 7-1-1
  • STAR Kids members can reach their service coordinator 800-659-5764.

Supplemental Nutrition Assistance Program(SNAP) beneficiaries who have suffered food losses due to Hurricane Beryl can now get replacement benefits.

SNAP benefits can be replaced if food bought with electronic benefit transfer (EBT) cards was destroyed due to power outages, flooding, property destruction and/or other effects of natural disasters.

To apply for a replacement, recipients can call Texas Health and Human Services Commission (HHSC) at 2-1-1 (select Option 2) OR

  1. Download and complete Form H1855 (Affidavit for Nonreceipt or Destroyed SNAP Benefits).
  2. Mail the completed form to HHSC at: P.O. Box 149027 Austin, TX 78714-9027
  3. You may also fax the completed form to 877-447-2839.

We are excited to launch some great updates to our website.

  • Streamlined navigation: We have updated the design to make it easier to find what you need, especially when you are on your phone. 
  • New “Find a Provider” page: The new page design will make it easier for you to find and choose a new doctor. 
  • Simplified benefits information: We have created easier access to information about benefits for children and pregnant women. 

This is part of our ongoing work to make it easier for you to get the care you need. Take a moment to explore our new website design—we hope you enjoy it!