You should call your childs PCP after the emergency so follow-up care can be planned. You can speak with someone in English or Spanish. Data available as of: June 20, 2023. If you are not satisfied with your care, you can file a complaint. You should have received a Batch ID if you performed a search for: Click the icon for the requested Batch ID to download the results. enrollment application performing , rate keys for some hcs txhml , medicaid surety bonds for ambulance , Children's Health Insurance Program (CHIP), Children with Special Health Care Needs Services Program, Enrollment Application for Performing Providers v. I, Provider Rate Updates for HCS and TxHmL Providers, Provider Enrollment Electronic Signature Instructions.pdf. For counties outside the Travis and Central Medicaid Rural Service Area, please contact the Medicaid Network Department at 1-855-212-1615 or via email atTexasMedicaidNetworkDepartment@bcbstx.com. BCBSTX STAR Kids members get behavioral health/substance abuse services through Magellan Health Services. Fee Schedules - TMHP We are open 8:00 a.m. to 8:00 p.m. Central Time, Monday through Friday. You can call Monday to Friday, 8:00 a.m. to 6:00 p.m. Central Time. Topics: Medicaid Business Resources Pages Registered Dietitian's Role in a Nursing Facility This new site may be offered by a vendor or an independent third party. This new site may be offered by a vendor or an independent third party. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. You do not need a referral to get emergency services. Use ourProvider Finderto search for doctors and pharmacies near you. No fee schedules, basic unit, relative values or related listings are included in CDT. For questions about your vision coverage, please call BCBSTX customer service at 1-888-657-6061 (TTY 711). A Magellan Health Care Coordinator will work with your child's service coordinator to ensure your child has access to the behavioral health services needed. Search for doctors, hospitals, pharmacies, urgent care and more using Provider Finder. Medicaid and the Children's Health Insurance Program (CHIP) provide health coverage for low-income children, families, seniors and people with disabilities. For questions about drug coverage, please contact us at 1-877-688-1811 (TTY 711). Provider search for doctors, clinics and facilities, plus dental and behavioral health . Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the American Medical Association (AMA) is not recommending their use. If you need to contact Texas Health Steps, call them toll-free at 1-877-847-8377 (1-877-THSTEPS). PDF File is in portable document format (PDF). If you would like to come and share your ideas with BCBSTX staff and community partners on what you like about your plan benefits or where we can do better, please call the member advocate toll-free for details at 1-877-375-9097 (TTY 711). In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. Your child's dental benefits are administered by either Dentaquest or MCNA Dental. Statewide Search; Texas.gov; Texas Homeland Security; Texas Veteran's Portal; Website Policy; Website Help Most PDF readers are a free download. Texas Health and Human Services Commission, Texas Medicaid and Healthcare Partnership, Texas Department of Family and Protective Services. Each quarter, BCBSTX holds a Member Advisory Group (MAG) meeting so that we can find out how we can serve you better. We are part of the Inspector General Integrity Initiative and have pledged to partner with the Office of Inspector General (OIG) to fight fraud, waste and abuse in Texas' Medicaid program. To get auxiliary aids and services, or to get written or oral interpretation to understand the information given to you, including materials in alternative formats such as large print, braille or other languages, please call BCBSTX STAR Kids Customer Service at 1-877-688-1811 (TTY 711). Nows the time to encourage our members to catch up on their health. For questions about your child's vision coverage, please call BCBSTX customer service at Please call them directly to learn more about your child's dental coverage: If you do not know your child's CHIP dental plan, call the CHIP enrollment broker at 1-800-964-2777. You can view copays for different services, based on income guidelines. This new site may be offered by a vendor or an independent third party. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. Providers may refer to the Contracted Rate search to determine whether Long-Term Care Provider Search Results | HHS - Texas For the Member Advocate in the Central MRSA service area, call 1-855-497-0857 (TTY 711). For questions about your child's behavioral health coverage, please call Magellan directly at 1-800-327-7390 (TTY 1-800-735-2988). A Magellan Health Care Coordinator will work with your childs service coordinator to ensure your child has access to the behavioral health services needed. Please note:that additional credentialing is not required for those providers already credentialed in the STAR, CHIP, or STAR Kids networks and whose credentialing is current. BY ACCESSING AND USING THIS SYSTEM YOU ARE CONSENTING TO THE MONITORING OF YOUR USE OF THE SYSTEM, AND TO SECURITY ASSESSMENT AND AUDITING ACTIVITIES THAT MAY BE USED FOR LAW ENFORCEMENT OR OTHER LEGALLY PERMISSIBLE PURPOSES. Call customer service at 1-877-688-1811 (TTY 711). ANY UNAUTHORIZED USE OR ACCESS, OR ANY UNAUTHORIZED ATTEMPTS TO USE OR ACCESS, THIS SYSTEM MAY SUBJECT YOU TO DISCIPLINARY ACTION, SANCTIONS, CIVIL PENALTIES, OR CRIMINAL PROSECUTION TO THE EXTENT PERMITTED UNDER APPLICABLE LAW. View your child's behavioral health coverage. If you have questions, please call customer service toll-free at1-877-688-1811 (TTY 711). This includes a standing referral to a specialty doctor, or having a specialist as a PCP if needed. External link You are leaving this website/app (site). Date of Birth. The AMA does not directly or indirectly practice medicine or dispense medical services. Its Time for TX Medicaid Members to Renew! You can call Monday to Friday, 8:00 a.m. to 6:00 p.m. Central Time. BCBSTX is asking for your help to boost awareness. These materials contain Current Dental Terminology, Fourth Edition (CDT), Copyright 2022 American Dental Association (ADA). You may leave a voice mail outside of our normal business hours or on weekends and holidays. Magellan also offers emergency and crisis support. To get Medicaid or CHIP, a child must be age 18 and younger (in some cases children with disabilities age 19 and 20 . 5. If you do not agree with a decision BCBSTX has made about your request for benefits or services, you have the right to ask for a Medicaid fair hearing from the Health and Human Services Commission (HHSC). About the Provider Search The LTC Provider Search includes information about 2 types of long-term care providers: residential and home or community-based. Visit the Office of Consumer Credit Commissions (OCCC) website to get tools and skills to help you make informed financial decisions. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. You can call 24 hours a day, 7 days a week. Learn about upcoming Member Advisory Group meetings. For Service Coordination, call 1-877-301-4394 (TTY 711), 8:00 a.m. to 5:00 p.m. Central Time, Monday through Friday. This product includes CPT which is commercial technical data and/or computer databases and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. You are leaving this website/app (site). They can also help you get a provider's: Professional qualifications Specialty Medical school information Residency information Board certification Demographics CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT. All procedure codes that apply to a provider identifier or provider type and specialty. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "ACCEPT". One option is Adobe Reader which has a built-in reader. Learn about upcoming Member Advisory Group meetings, behavioral health or substance abuse treatment services. If you have questions, please call customer service toll-free at1-888-657-6061 (TTY 711). You may also request interpreter services. You can also call Magellan at 1-800-424-0324. Nurse Practitioner (NP) or Physician Assistant (PA), Clinic such as Federally Qualified Health Centers (FQHCs) or Rural Health Clinics (RHCs). Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. To learn more, visit the OIG website. Texas Medical Board Your childs vision benefits are administered by Davis Vision. The HHSC hearings officers will hear your case, look at the evidence and make a decision based on state and federal rules, regulations and laws. Texas Medicaid STAR, CHIP, and STAR Kids Provider Manual. You can call customer service for help choosing an in-network PCP or you can use Provider Finder. If your child sees and out-of-network PCP or a PCP from a non-Medicaid plan, we can help you stay with that PCP. For the Behavioral Health Services Hotline, call Magellan Health Services at 1-800-327-7390 (TTY 1-800-735-2988). To ask for an appeal or a fair hearing, call the Member Advocate in the Travis service area at 1-877-375-9097 (TTY 711) from 8:30 a.m. to 5:00 p.m. Central Time, Monday to Friday. BY CLICKING BELOW ON THE BUTTON LABELED "ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD, AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT. Instead, you must exit from this computer screen. You may call at any time of day or night, and on any day of the week. This help line is staffed 24 hours a day, 7 days a week with registered nurses who can help you get answers to your health questions. To view this file, you may need to install a PDF reader program. The site may also contain non-Medicare related information. End Users do not act for or on behalf of the CMS. Magellan also offers emergency and crisis support. We are open 8:00 a.m. to 8:00 p.m. Central Time, Monday through Friday. Provider Search HEALTH PLAN * Select One CSHCN Services Program STAR STAR Health STAR+PLUS Traditional Medicaid Pharmacy Provider Search Children's Medicaid Dental Services MMP STAR Kids Kidney Health Care Family Support Services Children's Health Insurance Program Healthy Texas Women (HTW) To view this file, you may need to install a PDF reader program. All procedure codes that apply to a provider identifier or provider type and specialty. You should notify a service coordinator if you are going to see an out of network OB/GYN to ensure that the provider is loaded in our system so that they can file claims. This new site may be offered by a vendor or an independent third party. The OCCC has resources to help understand your financial choices and obligations. Your child's prescription benefits are administered by BCBSTX. This product includes CDT, which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable, which was developed exclusively at private expense by the American Dental Association, 211 East Chicago Avenue, Chicago Illinois, 60611. You can call 24 hours a day, 7 days a week. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal Procurements. You can speak with someone in English or Spanish. . Sign up or view the latest Blue Review newsletter. Find A Provider. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. To request aSTAR, CHIP, or STAR KidsNetwork Participation Agreement, please refer toRequest Contract/Agreement/Network Participationon theNetwork Participation page. If you do not know your child's dental plan, call the enrollment broker at 1-800-964-2777. First Name is an optional field. Knowing your choices makes it easier to manage your personal finances so you can meet your financial goals. Copyright 2022Health Care Service Corporation. You can also learn more about filing an appeal. For the Behavioral Health Services Hotline, call Magellan Health Services at 1-800-424-0324 (TTY 1-800-635-2883). Enter your batch ID number in the Batch ID field below, and click Search . You do not need an OK from your PCP to get family planning help. Find more information about your child's assigned service coordinator by logging in to Blue Access for MembersSM (BAM). You can call 24 hours a day, 7 days a week. Its Time for TX Medicaid Members to Renew! Last updated on 12/15/2021 Texas Medicaid has a wide variety of programs that help low-income women, families, seniors, and kids stay healthy, including: Children's Medicaid (including Texas Health Steps) Medicaid for the Elderly and People with Disabilities Medicaid Buy-In for Children Medicaid Buy-In for Adults Medicaid for Parents and Caretakers BCBSTX is asking for your help to boost awareness. Some CHIP members have copays. IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. All members receiving long-term services and supports, or those who request them will receive service coordination services from BCBSTX STAR Kids. If an unexpected medical situation arises, a nurse can help you decide if you should call your doctor, visit the ER or urgent care, or treat the problem yourself. If you want to see an out-of-network provider, you need to get a prior authorization for to ensure Magellan has the provider information needed to accurately pay claims. For additional assistance, call 1-888-887-9003, Monday - Friday from 8 a.m. to 8 p.m. Information and Interpreters are available in many languages. Your child's vision coverage includes an eye exam every 12 months and one pair of non-prosthetic eyewear every 12 months. Your prescription benefits are administered by BCBSTX. Medicaid and CHIP. Service coordination assists you and your child in coordinating acute and long-term care services. Download a print version of the STAR Kids Provider Network Directories: Provider Directory (Central Service Area), Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. Medicaid and CHIP | Texas Health and Human Services Texas Medicaid and CHIP provider resources include information on provider enrollment and re-enrollment, rate analysis, the CHIP Perinatal program, physician-administered drugs and communications resources. Care Find a Doctor Get the care you need from a provider you choose We've partnered with many providers in your area. Please share the HHSC Flyer with your patients to help them keep their benefits. 3. Please call Service Coordination so we can get information on PCP that you want to use, and we will help get the appropriate PCP assigned. You may call at any time of day or night, and on any day of the week. For questions about drug coverage, please contact us at 1-888-657-6061 (TTY 711). BCBSTX allows members with special health care needs to have direct access to the right specialists for their conditions and identified needs. BCBSTX has been around for over 90 years and is the largest provider of health benefits in the state of Texas. You may also request interpreter services. https://www.tmhp.com/resources/rate-and-code-updates/rate-changes. Each quarter, BCBSTX holds a Community Advisory Committee (CAC) Meeting so that we can find out how we can serve you better. For the Travis Service Area call toll-free at 1-877-375-9097, or in MRSA Central call 1-855-497-0857 (TTY 711). Search for different types of providers, like: Primary care providers Specialists Hospitals and facilities Labs (to get blood tests) Behavioral health providers Pharmacies Services Aging Age Well Live Well Aging and Disability Resource Centers Blindness Education, Screening and Treatment Program Complaint and Incident Intake Deaf and Hard of Hearing Services Guardianship Health and Human Services Ombudsman You can speak with someone in English or Spanish. Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer databases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. TMHP Applications are available at the American Medical Association website, www.ama-assn.org/go/cpt. For questions about drug coverage, please contact us at 1-888-657-6061 (TTY 711). Download a print version of the STAR Provider Network Directory. View more information on asking for a fair hearing. Your vision benefits are administered by Davis Vision. View more information on asking for a fair hearing. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. HIPP helps people who might otherwise be uninsured. If you do not agree to the terms and conditions, you may not access or use the software. Use ourProvider Finderto doctors and pharmacies near you. For counties outside the Travis and Central Medicaid Rural Service Area, please contact the Medicaid Network Department at 1-855-212-1615 or via email at TexasMedicaidNetworkDepartment@bcbstx.com. This should be done for any emergency at home or away. A range of procedure codes. BCBSTX is pleased to offer health plans for individuals who qualify for Medicaid (STAR, STAR Kids) and CHIP programs. If you need help finding a specialty doctor, mental health/substance abuse services or an OB/GYN provider, call Customer Service at 1-888-657-6061 or TTY 711. The MCAAC for your STAR Kids service area can provide reviews, recommendations and support for best practice information and quality care. Provider Medicaid | Blue Cross and Blue Shield of Texas View Participating Counties If you need help choosing a health plan, call 1-800-964-2777. You may also request interpreter services. Other Adobe accessibility tools and information can be downloaded at https://access.adobe.com. All members receiving long-term services and supports, or those who request them will receive service coordination services from BCBSTX STAR Kids. CPT is a registered trademark of American Medical Association. Your child's prescription benefits are administered by BCBSTX. This Agreement will terminate upon notice to you if you violate the terms of the Agreement. Location: Type of Care: Search. BCBSTX works with Magellan Health Services (Magellan) for mental health and substance abuse services. Please choose a PCP from the provider network when you join. After you choose a PCP, you will then get a new ID card that shows Commercial PCP or Dual Eligible for members that have Medicare. They can give you the name, address and phone number of a doctor or specialist. If you are experiencing an emergency, call 911 or go to the nearest hospital emergency room. End of Continuous Medicaid Coverage Ambassador Toolkit. CMS DISCLAIMER. Mental Health/Substance Abuse services do not need an OK from your PCP when you are not in the hospital, but you do have to see a Magellan provider. If you would like to come and share your ideas with BCBSTX staff and community partners on what you like about your plan benefits or where we can do better, please contact the STAR Kids member advocate in your area for details. BCBSTX is pleased to provide a CHIP plan. Your member's card shows if you have one. Find a Doctor | Texas Medicaid Amerigroup One option is Adobe Reader which has a built-in reader. For questions about your child's vision coverage, please call BCBSTX customer service at 1-877-688-1811 (TTY 711). Home Services and Providers A-Z Services and Providers A-Z Download a PDF listing our services and providers. Call customer service at 1-888-657-6061 (TTY 711) to replace your ID card if it is lost. Expenditures include direct payments to physicians, hospitals License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago IL 60611. Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government Use. BCBSTX also allows you to see out-of-network OB/GYN providers for medically necessary services. The sole responsibility for the software, including any CDT and other content contained therein, is with TMHP or the CMS; and no endorsement by the ADA is intended or implied. American Rescue Plan Act provider payment | UHCprovider.com Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. You should have received a Batch ID if you performed a search for: 11 to 50 procedure codes. The site may also contain non-Medicare related information. Your vision coverage includes an eye exam every 12 months and glasses or contact lenses, when medically necessary. Medicaid Providers By ensuring access to employer-sponsored health insurance, people who are eligible for HIPP can receive services that are not normally covered through Medicaid. In addition, some sites may require you to agree to their terms of use and privacy policy. Call customer service at 1-888-657-6061 (TTY 711). Welcome to the Online Fee Lookup for Texas Medicaid, the Health and Human Services Commission (HHSC) Family Planning Program, and the Children with Special Health Care Needs (CSHCN) Services Program. BCBSTX serves STAR Kids members in both the Travis and Central Service Areas. If your provider needs to contact us, they may call the Provider Services Hotline at 1-877-560-8055from 8:00 a.m. to 8:00 p.m. Central Time, Monday through Friday. WARNING: THIS IS A TEXAS HEALTH AND HUMAN SERVICES INFORMATION RESOURCES SYSTEM THAT CONTAINS STATE AND/OR U.S. GOVERNMENT INFORMATION. Long-term Care Provider Search | HHS - Texas TexMedConnect Prior Authorization Medicaid Provider Manual Provider Enrollment Your provider can contact us with questions about eligibility, benefits, provider network referrals or claim statuses. Learn about upcoming Community Advisory Committee meetings. You may also request interpreter services. Call customer service at1-877-688-1811(TTY 711) to replace your ID card if it is lost.