For Members

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Renew your coverage

Is it time for you to renew your CHIP or Medicaid?

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Are your kids on the same plan?

It's easy to get all of your kids' health covered under one health plan.

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Find a doctor

Search for doctors, specialists, therapists, and more.

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Does your child have special needs?

We work hard to make sure your special health-care needs are met.

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What do I have to do if I move?
All address changes need to be reported to HHSC. As soon as you have your new address, give it to HHSC by calling 2-1-1 or by updating your account on YourTexasBenefits.com.

It is important to make sure your address is updated in a timely manner to ensure you continue to receive information from Texas Children’s Health Plan and HHSC. You may need to choose another health plan if you moved to an area that is not covered by Texas Children’s Health Plan.

If you need help, call Member Services toll-free at 1-866-959-2555 (STAR), 1-866-959-6555 (CHIP), or 1-800-659-5764 (STAR Kids). We will be happy to tell you if you moved to an area that is outside of Texas Children’s Health Plan’s service area and get you connected to HHSC so the address change can be made. You will continue to get care through Texas Children’s Health Plan until HHSC changes your address.

New Vision Provider

Beginning April 1, 2018, your Texas Children’s Health Plan vision provider will be Envolve Vision. You will receive a new member ID card with your new vision provider listed on it.

If you have questions about your vision benefits, you can call Envolve Vision toll-free at 1-844-683-2305 (STAR), 1-844-520-3711 (CHIP), or 1-844-212-7269 (STAR Kids).

If you have any questions about the vision provider change, you can call Texas Children’s Health Plan Member Services toll-free at 1-866-959-2555 (STAR), 1-866-959-6555 (CHIP), or 1-800-659-5764 (STAR Kids).

CHIP Co-pay Changes

Because of a computer glitch, you haven’t been charged enough for co-pays required by the Children’s Health Insurance Program.

Effective 04/01/2018, your new member ID card shows the correct co-pays for future visits. If you have questions, please call us at Texas Children’s Health Plan:
CHIP -1-866-959-6555

We apologize for the confusion.

Medicaid Fraud Notice

Learn more...

Mosquito Repellent is Available as a Statewide Benefit

Texas covers certain mosquito repellent products for the prevention of Zika virus as a benefit in Medicaid and other state programs. | Learn more...

Helpful Information for Members

Member Services Hotline

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.

What is a Member Advisory Group?

Texas Children’s Health Plan will host quarterly Member Advisory Group meetings to gain valuable feedback from our current members on the initiatives, services, and programs offered by the health plan. The information and member feedback gathered during these meeting will be used to guide future programs.

These meetings will last no longer than one hour. These quarterly meetings are being mandated by the state. Texas Children’s Health Plan must maintain a record of member advisory group meetings, including agendas, and minutes.

What is a 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.

Can I ask for a State Fair Hearing? If you, as a member of Texas Children’s Health Plan, disagree with the health plan’s decision, you have the right to ask for a fair hearing. You may name someone to represent you by writing a letter to the health plan telling them the name of the person you want to represent you. A doctor or other medical provider may be your representative. If you want to challenge a decision made by Texas Children’s Health Plan, you or your representative must ask for the fair hearing at any time up until 90 days of the date on the health plan’s letter with the decision. If you do not ask for the fair hearing within 90 days, you may lose your right to a State Fair Hearing.To ask for a 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
TDD 1-800-735-2989 (Texas Relay) or 7-1-1

Click here for more information on State Fair Hearings

Texas Health Steps

Regular checkups and shots keep your children healthy. You can go to any Texas Health Steps doctor without a referral. To find a Texas Health Steps (THSteps) doctor near you, call us at 1-866-959-2555 or use our "Find a Doctor" tool.

For more information visit www.TXHealthSteps.com

How to replace a lost or stolen Member ID card?

Do not let other people use your/your child’s ID card. If the card is lost or stolen, call Member Services (toll-free) and a Member Advocate will send a new card to you.

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

Member Events

09.16.2019

Childbirth Education

See All Member Events

As a Texas Children’s Health Plan member, you get all of the great health benefits from either CHIP or STAR Medicaid. You also get extra benefits that you may not get from other health plans. We want our members to be healthy and happy. That’s why we give our members fun things to do such as:

Houston Dynamo soccer leagues and clinics.
Much more!

Member Portal Login

Questions about health care?

How to Renew

What do I have to do if I move?