Medicaid and CHIP program eligibility is determined by the Health and Human Services Commission. Providers should verify each patient’s eligibility for the date of service prior to services being rendered. There are several ways to do this:
Individuals who need assistance applying for Medicaid or CHIP should click here or contact 2-1-1.
To verify health plan eligibility:
1-800-947-4969
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Community Health Choice STAR | CHIP | Marketplace
1-888-760-2600
Dell Children's Health Plan
1-888-821-1108
1-855-897-4448
Member Enrollment Resource:
https://www.superiorhealthplan.com/members/medicaid/how-to-enroll.html
Provider Eligibility Resource: https://www.superiorhealthplan.com/providers/training-manuals.html
1-888-887-9003
A pharmacy may give a 72-hour authorization override in the event that an authorization is not received in time for a prescription needed by a member immediately. View details
800-306-8612 (Tarrant service area)
800-248-7767 (Bexar service area)
800-600-4441
844-756-4600 (STAR Kids only)
877-560-8055
877-688-1811
800-947-4969
214-867-5512 (Fax)
877-428-3057 (Medicaid)
800-359-5613 (CHIP)
469-282-3012 (Fax)
800-964-2247
877-451-5628
844-883-2422
Driscoll Children's Health Plan
877-DCHP-KIDS
877-532-3778
800-431-7798 (STAR)
877-639-2447 (CHIP)
855-322-4080
214-266-2109
855-TX-RIGHT (855-897-4448)
Sendero Health Plans IdealCare | Medicaid/CHIP
800-731-8527
888-887-9003
Important: Do not send patients who forgot or lost their cards to an HHSC benefits office for a paper form. Members may request a new card by calling 855‐827‐3748. Medicaid members may also go order new cards or print temporary cards online. Members may complete a 1027-A form for a replacement card. For instructions, visit www.YourTexasBenefits.com and click Learn more about the Your Texas Benefits Medicaid card.