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Medicaid Provider Enrollment. All providers that want to participate in state health-care programs must enroll in Texas Medicaid. This enrollment requirement applies to providers who participate in: Traditional fee-for-service Medicaid; Long term-care services; Pharmacy services; Medicaid managed care; Ordering- and referring-only providers
If you have questions or are experiencing difficulty with your services from HHS, including Medicaid managed care, contact the Office of the Ombudsman. Phone: 877-787-8999 Relay Texas for people with a hearing or speech disability: 7-1-1 or 800-735-2989 Online: Online Submission Form Fax: 888-780-8099. Address: P. O. Box 13247
Medicaid and the Children's Health Insurance Program (CHIP) provide health coverage for low-income children, families, seniors and people with disabilities. Programs and Services Children and Families
If you have Medicaid or CHIP, your health plan makes sure you get the health care services you need. If you have questions about your health care or your doctor, you should contact your health plan. Their phone number and website will be listed on your health plan ID card.
If you're enrolled in a Medicaid plan, you can choose to change your health plan at any time. CHIP members can only change their plans during their first 90 days of enrollment. CHIP Perinatal members can change their plans during their first 120 days of enrollment.
The Children's Health Insurance Program (CHIP) covers children in families that earn too much money to qualify for Medicaid but can’t afford to buy private insurance. If you’re new to CHIP, you’ll choose a health plan for your child from the ones available in your service area (PDF) .
Children in Texas might be able to get low-cost or free health coverage through Children's Medicaid or the Children's Health Insurance Program (CHIP). Children's Medicaid is a health care program for children in low-income families.
Find information about claims, Medicaid enrollment, and contacts and resources for both.
Medicare and Medicaid information and education. Help with original Medicare eligibility, enrollment, benefits, complaints, rights and appeals. Explain Medicare Supplemental (Medigap) insurance policy benefits and comparisons. Explain Medicare Advantage (Part C) and provide comparisons and help with enrollment and disenrollment.
Most people who have Medicaid in Texas get their coverage through the STAR managed care program. STAR covers low-income children, pregnant women and families. STAR members get their services through health plans they choose. If you're new to STAR, you'll choose a health plan from the ones available in your service area (PDF).