For Members

Our Member Services team is ready to take your call from 8 a.m. to 5 p.m., 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. We speak English or Spanish. We also have interpreters available by phone who speak 140 different languages. Emergency Service and Behavioral Health services are available 24 hours a day, 7 days a week.

Member Services

• CHIP: 1-866-959-6555
• STAR: 1-866-959-2555
• STAR Kids: 1-800-659-5764 (Service Coordination)
• TTY/TDD: 1-800-735-2989 (Texas Relay) or 7-1-1

To join, you can call: 1-877-782-6440 (STAR Kids) or 1-800-964-2777 (CHIP and STAR). For TTY/TDD call 1-800-735-2989.

Not a member? Call our Marketing Hotline at 1-800-990-8247 from 8 a.m. to 5 p.m., Monday through Friday. One of our representatives will be happy to assist you. You can also call the enrollment broker at 1-800-964-2777 from 8 a.m. to 6 p.m., Monday through Friday.

In case of an emergency, go to your nearest in-network emergency room or call 9-1-1.

In response to COVID-19, Texas Children’s Health Plan is following the new recommendations from the Health and Human Services Commissions (HHSC). The changes below are in effect through May 31, 2020.

• Members may now request an appeal verbally. They no longer have to do it in writing.
• Texas Children’s Health Plan now has sixty (60) days to decide a standard appeal. Before, it was thirty (30) days.
• Members now have ninety (90) days to request an internal appeal with Texas Children’s Health Plan. Before, it was sixty-(60) days. Members may now have thirty (30) days to request to continue their benefits after receiving an unfavorable benefit decision. Before, it was ten (10) days.
• Individuals now have one hundred and fifty (150) days to request a fair hearing after a Texas Children’s Health Plan internal appeal. Before, it was one hundred and twenty (120) days. If before the changes, the timeframe for an individual to request a fair hearing would have expired in April 2020, now the individual will have extra 30 days from that expiration date to request a fair review.