Contact Us | Texas Children's Health Plan

Contact Us

Texas Children’s Health Plan wants to keep your family happy and healthy. 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.
 
By Mail:
 
Texas Children’s Health Plan
PO Box 301011, WLS-8360
Houston, TX 77230-1011
 
Have us contact you:
One of our representatives will contact you within 2 hours or within one business day for calls received on nights, weekends and holidays.
 
External Medical Review
 
If a Member disagrees with the health plan’s internal appeal decision, the Member has 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. The Member or the Member’s representative must ask for the External Medical Review within 120 days of the date the health plan mails the letter with the internal appeal decision.
 
To ask for a State Fair Hearing and External Medical Review, you can call us 1-866-959-2555 for STAR or 1-800-659-5764 for STAR Kids, email us at TCHPUM@texaschildrens.org or you can fill out this form and mail or fax it to us.
 
Texas Children's Health Plan
Attn: UM Department
P.O. Box 301011, WLS 8390
Houston, TX 77230-1011
Fax: 832-825-8796
 
Learn more about the External Medical Review process.