Providers seeking to contract and credential with any MCO/DMO must contact the MCO/DMO's contracting team to begin the process.
The information below provides contact information for each of the MCOs/DMOs that serve Medicaid and CHIP clients. Contact the MCO/DMO in your service delivery area to receive additional information on the contracting process.
Aetna Better Health
Provider Hotlines: 1-800-248-7767(BexarCo.)1-800-306-8612(TarrantCo.)
Email: txproviderenrollment@aetna.com
Website: www.aetnabetterhealth.com/texas
Programs: STAR, STAR Kids
Service Delivery Area: Bexar, Tarrant
Amerigroup
Credentialing: 1-855-817-5783
Credentialing email: txcredentialing@amerigroup.com
Programs: STAR, STAR+PLUS, STAR Kids, CHIP, CHIP Perinate, Medicare and MMP
Service Delivery Area: Bexar, Dallas, El Paso, Harris, Jefferson, Lubbock, Tarrant, Travis, MRSA Central, MRSA Northeast, MRSA West
Blue Cross and Blue Shield of Texas
Provider Hotline: STAR -(877)560-8055; STAR Kids –(877)784-6802
Email: TexasMedicaidNetworkDepartment@bcbstx.com
Website: bcbstx.com/provider/medicaid/credentialing.html
Programs: STAR, STAR Kids
Service Delivery Area: Travis, MRSA Central
Children's Medical Center Health Plan
Provider Hotline: 1-800-947-4969
Email: providerinfo@childrens.com
Website: www.childrensmedicalcenterhealthplan.com/
Program: STAR Kids
Service Delivery Area: Dallas
CHRISTUS Health Plan
Provider Hotline: 1-877-428-3057
Email: provider.relations@chhealthplans.org
Website: www.christushealthplan.org/
Program: STAR
Service Delivery Area: Nueces
Cigna-HealthSpring
Provider Hotline: 1-877-653-0331
Email: providerrelationscentral@healthspring.com
Website: www.starplus.mycignahealthspring.com/
Program: STAR+PLUS
Service Delivery Area: Hidalgo, Tarrant, MRSA Northeast
Community First Health Plan
Provider Hotline: 1-800-434-2347
Email: nmcfhp@cfhp.com
Website: www.cfhp.com/Members/STAR/STAR_About.asp
Programs: STAR, STAR Kids
Service Delivery Area: Bexar
Community Health Choice
Provider Hotline: 1-888-760-2600
Email: ProviderServices@Communitycares.com
Website: www.communitycares.com/en-us/Plans-Benefits/Texas-STAR-Plan
Program: STAR
Service Delivery Area: Harris, Jefferson
Cook Children's Health Plan
Provider Hotline: 1-800-964-2247
Email: cchpnetworkdev@cookchildrens.org
Website: www.cookchp.org/English/Pages/default.aspx
Programs: STAR, STAR Kids
Dell Children’s Health Plan
Provider Hotline: 512-324-3125 option 4
Email: shpnetworkdevelopment@seton.org
Website: https://www.dellchildrens.net/health-plan/providers/become-a-provider/
DentaQuest
Provider Hotline: 1-800-896-2374
Email:PRTexasEscalations@greatdentalplans.com
Website: www.dentaquest.com/state-plans/regions/texas/
Driscoll Children's Health Plan
Provider Hotline: 1-855-425-3247 (Hidalgo Service Area) 1-877-324-3627 (Nueces Service Area)
Email: DCHPortalPR@dchstx.org
Website: http://driscollhealthplan.com/
Programs: STAR, STAR Kids
Service Delivery Area: Hidalgo, Nueces
El Paso Health
Provider Hotline: 1-877-532-3778( ext.1507)
Email: providerservices@epfirst.com
Website: www.epfirst.com/
Program: STAR
Service Delivery Area: El Paso
FirstCare
Provider Hotline: 1-800-431-7798
Email: provider_relations@firstcare.com
Website: http://www.firstcare.com/en/Providers/STAR-CHIP-Provider-Information
Program: STAR
Service Delivery Area: Lubbock, MRSA West
MCNA Dental
Provider Hotline: 1-855-776-6262
Email: TX_PR_DEPT@mcna.net
Website: http://www.mcna.net/en/home
Molina Healthcare of Texas
Provider Hotline: 1-855-322-4080
Email: mhtxproviderservices@molinahealthcare.com
Website: www.molinahealthcare.com/members/tx/en-us/pages/home.aspx
Programs: STAR, STAR+PLUS
Service Delivery Area: Bexar, Dallas, El Paso, Harris, Hidalgo, Jefferson
Parkland
Provider Hotlines: 1-888-672-2277
Email: patricia.carney@phhs.org
Website: www.parklandhmo.com/
Program: STAR and CHIP
Service Delivery Area: Dallas, Collin, Ellis, Hunt, Kaufman, Navarro and Rockwall
Scott & White Health Plan
Provider Hotline: 1-855-897-4448
Email: swhpproviderrepresentatives@sw.org
Website: http://rightcare.swhp.org/en-us/prov/provider-home
http://rightcare.swhp.org/en-us/prov/forms-tools.
Program: STAR
Service Delivery Area: MRSA Central