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ALERTA: ¡Ahora el sitio web de Texas Children’s Health Plan es aún más sencillo de usar! Haz clic aquí para más información.
Texas Children’s Health Plan wants to keep your family happy and healthy. We are ready to help you! You can reach us at any of the numbers below.
Our team is here to assist our diverse member community by offering services and tools that are customized to meet your needs, such as:
We are available 8 a.m. to 5 p.m. CT, Monday through Friday. After hours, on weekends and holidays, you can leave a message in our answering services and a Member Services Advocate will return your call the next business day.
Emergency Service and Behavioral Health services are available 24 hours a day, 7 days a week.
Get Help Signing Up for Coverage
Hours 8 a.m. to 5 p.m. CT, Monday through Friday. After hours, on weekends and holidays, our answering service is ready to help you and/or take your messages. A Member Service Advocate will return your call the next business day.
Case Management
832-828-1430
Women's Health
832-828-1430
To report Medicaid or CHIP fraud and abuse:
Call 832-828-1320 or email
Provider Services Hotline
Providers can use this number for claims, inquiry, questions and information about CHIP, STAR, or STAR Kids products and to check eligibility/benefits.
Phone: 832-828-1004, Toll free: 1-877-213-5508
Hours 8 a.m. to 5 p.m. CT, Monday through Friday. After hours, on weekends and holidays, our answering service is ready to help you and/or take your messages. A Member Service Advocate will return your call the next business day.
Telephone TouCHPoint
Texas Children’s Health Plan’s automated Telephone TouCHPoint system allows Texas Children’s Health Plan providers to check eligibility, benefits, and claims status after hours. The service is available 24 hours a day, 7 days a week.
To access Telephone TouCHPoint call 832-828-1007. Enter the member’s identification number and the provider’s NPI number. Fax: 832-825-8777
Behavioral Health/Substance Abuse Hotline
Call our Behavioral Health/Substance Abuse Hotline at 800-731-8529 to find out how to get services.
The line is available 24 hours a day, 7 days a week. No primary care provider referral is needed.
The hotline is staffed with individuals who speak English and Spanish. Interpreters who speak 140 different languages are also ready by phone.
If you have an emergency and need treatment immediately, call 9-1-1 or go to the nearest emergency room.
STAR Kids members can reach their service coordinator 800-659-5764.
24-Hour Nurse Help Line
Are you or your child not feeling well? Our registered nurses can offer you advice with symptoms and help to decide the most appropriate place for care, understand doctor’s instructions and with recommendations for treatment.
Toll Free: 1-800-686-3831, TTY 800-735-2989 (Texas Relay)
Hours: 24 hours a day, 7 days a week
Prescription Drug Manager
Navitus is the provider for drug store services for members. For help finding a drug store or getting a prescription filled, call the toll-free numbers below
You can also search online at Pharmacy Search
Vision
Envolve Vision provides vision care services covered under your plan. No primary care provider referral is needed.
Provider search: https://visionbenefits.envolvehealth.com/locate/tchp/search
Dental
Your child will have one of the following dental plans:
Members under 21 years of age:
DentaQuest
MCNA Dental
UHC Dental
If you don't know who your child's CHIP dental plans is, call CHIP toll-free at 1-866-959-6555
Value-Added Service for STAR Members 21 years of age and older:
FCL Dental
Enrollment Broker
The HHSC Enrollment broker can tell you how to sign up for coverage.
Hours: Monday – Friday, 8 a.m. – 6 p.m. The enrollment broker is not available on weekends or after hours.
Website: https://www.yourtexasbenefits.com
State Fair Hearing
A State Fair Hearing is a chance for you tell the reasons why you think the services you asked for and couldn’t get should be allowed. To ask for a State Fair Hearing, you or your representative should either send a letter to the health plan or call:
Texas Children’s Health Plan
Attention: Appeals Department NB8390
PO Box 300709
Houston, TX 77230
Fax: 832-825-8796
Phone: 832-828-1001 or 1-866-959-2555
TTY/TDD: 1-800-735-2989 (Texas Relay) or 7-1-1
Click here for more information on State Fair Hearings
External Medical Review
If you disagree with the health plan’s internal appeal decision, you as the member have the right to ask for an External Medical Review. An External Medical Review is an optional, extra step the Member can take to get the case reviewed before the State Fair Hearing occurs.
STAR: 866-959-2555
STAR Kids: 800-659-5764
or email the HHSC Intake Team