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New Website! ¡Nuevo sitio web!

ALERT: We have made the Texas Children’s Health Plan website even easier to use! Click here to learn more.

ALERTA: ¡Ahora el sitio web de Texas Children’s Health Plan es aún más sencillo de usar! Haz clic aquí para más información.

Enfamil shortage updates Escasez de Enfamil Reguline

ALERT: Shortage of Enfamil products until October 31, 2024. Learn more.

ALERTA: Escasez de productos de Enfamil hasta el 31 de octubre de 2024. Más información.

Change Healthcare Incident Change Healthcare incidente

Contact Us

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.

Member Services 

Our team is here to assist our diverse member community by offering services and tools that are customized to meet your needs, such as:

  • Oral interpretation (over the phone and face to face) and written translations assistance. Sign language available.
  • Information in formats such as print, Braille, audiotapes or accessible electronic.
  • Access to TTY/TDD services for hearing and speech impairment.

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.

  • 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.  

Emergency Service and Behavioral Health services are available 24 hours a day, 7 days a week.

Not a member? 
Call 1-800-990-8247 

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  

  • CHIP: 1-866-959-6555  
  • STAR: 1-866-959-2555  
  • STAR Kids : 800-659-5764 

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. 

  • 1-844-520-3711 (CHIP) 
  • 1-844-683-2305 (STAR) 
  • 1-844-212-7269 (STAR Kids) 

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 

  • Toll-Free Phone: 1-800-508-6775 
  • Web site DentaQuest  

MCNA Dental 

  • Toll-Free Phone: 1-800-494-6262 
  • Web site: 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. 

  • STAR: 1-800-964-2777, TTY 711 
  • STAR Kids: 1-877-782-6440, TTY 711 
  • CHIP: 1-800-964-2777, TTY 711 

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