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URLhttps://www.texaschildrenshealthplan.org/
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Meta TitleHomepage | Texas Children's Health Plan
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HHSC continues to require of Texas Children’s Health Plan to allow an extension for up to 30 days for members to request continuation of benefits after they receive an adverse benefit determination. This continuation of benefits extension time frame will end June 30, 2021. Starting July 1, 2021, Texas Children’s Health Plan must apply the normal, regular and set timeframes for members to request continuation of benefits, which is no later than 10 days from the date they receive the adverse benefit determination notice. Texas Children’s Health Plan is partnered with SafeRide Health (SRH) to provide our members with transportation services at no cost to a doctor’s appointment, a dental visit and/or the pharmacy . Transportation services are also provided for qualifying classes or events sponsored by the health plan. Schedule a Ride by Phone:  Members must schedule a ride with Texas Children’s Transportation Line over the phone if you are requesting it for the first time or going to a new location. Call the following numbers to schedule your ride Monday through Friday from 6:00 a.m.-8:00 p.m. CT. 888-583-0110 *interpreter services are available Click here for more information about our Transportation Services! Lost your coverage? There are a number of programs offered through Texas Health and Human Services that can help. The Healthy Texas Women Program  - offers women’s health and family planning services. Is available to Texas women who meet the program rules. Healthy Texas Women Plus  – gives more postpartum services for women. Available to those in the Healthy Texas Women program. Family Planning Program  – focused on family planning and other healthcare. Available to women and men in Texas. Primary Health Care Program  - works with clinics across Texas. It makes sure Texas residents can get the primary care they need. The program serves men, women and children. Each program has rules for who can join. Visit the links above for more information on what they cover and how to join. Texas Children’s Health Plan provides a Member Advocate to assist you if you have a complaint. Our team of member advocates will help you write and file a complaint or appeal on your behalf and monitor it until it is resolved. We have a member advocate dedicated for each line of business and service delivery area. We speak English and Spanish. We also have interpreters available by phone who speak 140 different languages. To have a Member Advocate assigned to you, call 866-219-5411. Before going to the Emergency Room, call the Nurse Help Line (unless it is an emergency). You can get advice from a nurse about health issues you may be having. You can also get tips on understanding doctor’s instructions, and more. We are available 24-hours a day, 7 days a week. We speak English or Spanish. We also have interpreters available by phone who speak 140 different languages. 1-800-686-3831 or TTY 1-800-735-2989 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. Here are some services our team can help you with, if needed: Oral interpretation (over the phone and face to face) and written translations assistance. Sign language available. Information in formats such as print, Braille, audiotapes or accessible electronic. Access to TTY/TDD services for hearing and speech impairment Member Services Program Hotlines: 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 In case of an emergency, go to your nearest in-network emergency room or call 9-1-1. Emergency Service and Behavioral Health services are available 24 hours a day, 7 days a week. No primary care provider referral is needed. The hotline has people who speak English and Spanish. Interpreters who speak 140 different languages are also available by phone. If you have an emergency and need treatment immediately, call 9-1-1 or go to the nearest emergency room. Behavioral Health/Substance Abuse Hotline: CHIP: 1-800-731-8528 STAR: 1-800-731-8529 STAR Kids: 1-800-731-8529 ( Service Coordination ) Provider Services Hotline   Providers can use this number for claims, inquiries, questions, and information about CHIP, STAR, or STAR Kids products and to check eligibility/benefits.   Phone: 832-828-1004, Toll free: 1-877-213-5508 Hours 8 a.m. to 5 p.m. CT, 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.   Telephone TouCHPoint Texas Children’s Health Plan’s automated Telephone TouCHPoint system allows Texas Children’s Health Plan providers to check eligibility, benefits, and claims status after hours. The service is available 24 hours a day, 7 days a week. To access Telephone TouCHPoint call 832-828-1007. Enter the member’s identification number and the provider’s NPI number. Telephone TouCHPoint: 832-828-1007 Fax: 832-825-8777 The Children’s Health Insurance Program (CHIP) offers low-cost health coverage for children from birth through age 18. CHIP is designed for families who earn too much money to qualify for Medicaid but cannot afford to buy private health coverage. We offer CHIP in more than 20 counties in the Jefferson and Harris Service Areas. Click here to learn more about CHIP . Image STAR is a Medicaid-managed care plan. This plan helps family members of any age. Texas Children’s Health Plan offers STAR in more than 20 counties in the Jefferson and Harris Service Areas. Learn more about STAR. Click here to learn more about the STAR program . Image STAR Kids is a Medicaid-managed care plan. This plan helps children and young adults under the age of 21 with disabilities. Texas Children’s Health Plan offers STAR Kids in the Harris, Jefferson and Northeast Service Areas. Click here to learn more about the STAR Kids program. Image Texas Children’s Health Plan offers CHIP perinatal services. CHIP prenatal is no-cost health coverage for pregnant women. To get CHIP perinatal, you must: Meet certain income requirements. Not qualify for Medicaid. Not have any other health coverage. Click here to learn more about CHIP Perinatal. Image How is the Texas Vendor Drug Program (VDP) used for Texas Children's Health Plan Medicaid members? Navitus is the provider for drug store services for members. The Texas VDP maintains and publishes the Texas VDP Formulary and the associated PDL. It also maintains and publishes the clinical guidelines for drugs not on the PDL which require pre-approval, and are used by Navitus to give benefits for Texas Children's Health Plan STAR and CHIP members. What drug stores does Navitus have contracts with? Navitus has contracts with more than 95% of the VDP providers in Texas. The Navitus drug store network includes national chain drug stores such as Walgreen's, CVS, HEB, Wal-Mart, Target, and Kroger. And many others.  Navitus' drug store network can be found here . Contact Member Services at  1-866-959-6555 (CHIP) or 1-866-959-2555 (STAR)  if you need help finding a drug store. We want you to have the best resources for your health. Here is a list of helpful websites and links to our vendors:   Prescriptions Pharmacy Search Vision Care Envolve Vision 1-844-520-3711 (CHIP) 1-844-683-2305 (STAR) 1-844-212-7269 (STAR Kids) Dental Care Your child will have one of the following dental plans: DentaQuest  1-800-508-6775 MCNA Dental  1-800-494-6262 UHC 1-877-901-7321 If you don't know who your child's CHIP dental plans is, call CHIP toll-free at 1-866-959-6555 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 State 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 TTY/TDD: 1-800-735-2989 (Texas Relay) or 7-1-1 Click here for more information on State Fair Hearings Provides free aids and services to people with disabilities to communicate effectively with us, such as: Qualified sign language interpreters Written information in other formats (large print, audio, accessible electronic formats, braille, and other formats) Provides free language services to people whose primary language is not English, such as: Qualified interpreters Information written in other languages If you need these services, contact Texas Children’s Health Plan Member Services Department at 866-959-2555 (STAR), 866-959-6555 (CHIP), 800-659-5764 (STAR Kids) (TTY 7-1-1) Through the new online member portal, Texas Children’s Health Plan members can use their health data to discover the latest health care and fitness apps. Once connected, you will be able to get an accurate picture of your health and elevate your fitness progress to new heights. |  Learn more
Markdown
[Skip to main content](https://www.texaschildrenshealthplan.org/#main-content) Transportation Update Actualización de transporte SafeRide Health (SRH) is the new provider for all NEMT rides to doctor appointments and pharmacy visits. Depending on your needs, rides may include wheelchair-lift-equipped vehicles, stretcher vans, minivans, or ambulatory vans. Please let SRH know what type of ride you need when scheduling. [Learn more](https://www.texaschildrenshealthplan.org/benefits/transportation-assistance "Transportation Assistance") SafeRide Health (SRH) es el nuevo proveedor de todos los servicios de transporte médico que no son de emergencia (NEMT, por sus siglas en inglés) hacia consultas médicas y farmacias. Según tus necesidades, los servicios de transporte pueden incluir vehículos con elevador para sillas de ruedas, camionetas con camilla, minivans o camionetas ambulatorias. Por favor, informa a SRH qué tipo de transporte necesitas al programar tu traslado. [Obtenga más información AQUI](https://www.texaschildrenshealthplan.org/es/benefits/transportation-assistance) Conduent Incident Incidente de Conduent Alert: Notice of Conduent Incident - [Learn more](https://www.conduent.com/notice-4068902/) Alerta - Aviso de incidente de Conduent - [Más información](https://www.conduent.com/notice-4068902/) [![Texas Children's Hospital logo](https://www.texaschildrenshealthplan.org/themes/custom/tchp/images/logos/TCHP_Horz_CMYK_2K22.svg)](https://www.texaschildrenshealthplan.org/ "Go home") - Benefits for You - [Find a Provider](https://www.texaschildrenshealthplan.org/find-a-provider) - How to Apply - Your Health - [About Us](https://www.texaschildrenshealthplan.org/about-us) - [Member Login](https://mychart.texaschildrens.org/mychart/Authentication/Login "Login to MyChart member portal") - [Provider Login](https://epiccarelink.texaschildrens.org/EpicCareLink/common/epic_login.asp) - [Providers](https://www.texaschildrenshealthplan.org/providers "News, information, and resources for Texas Children's Health Plan Providers") - [Contact Us](https://www.texaschildrenshealthplan.org/contact-us) - [Legal Notices](https://www.texaschildrenshealthplan.org/legal-notices) - [English](https://www.texaschildrenshealthplan.org/) - [Español](https://www.texaschildrenshealthplan.org/es) ## Search - [Benefits for You](https://www.texaschildrenshealthplan.org/benefits) - [CHIP](https://www.texaschildrenshealthplan.org/benefits/chip) - [STAR (Medicaid)](https://www.texaschildrenshealthplan.org/benefits/star-medicaid) - [STAR Kids](https://www.texaschildrenshealthplan.org/benefits/star-kids) - [For Pregnant Members](https://www.texaschildrenshealthplan.org/benefits/for-pregnant-members) - [For Traveling Farmworkers](https://www.texaschildrenshealthplan.org/benefits/traveling-farmworker) - [Healthy Rewards Program](https://www.texaschildrenshealthplan.org/benefits/healthy-rewards) - [Member Events](https://www.texaschildrenshealthplan.org/benefits/member-events) - [Pharmacy Services](https://www.texaschildrenshealthplan.org/benefits/pharmacy-services) - [Transportation Assistance](https://www.texaschildrenshealthplan.org/benefits/transportation-assistance) - [Member Advisory Group](https://www.texaschildrenshealthplan.org/benefits/member-advisory-group) - [Prior Authorization](https://www.texaschildrenshealthplan.org/benefits/prior-authorization) - [Community Events](https://www.texaschildrenshealthplan.org/benefits/community-events) - [How to Apply](https://www.texaschildrenshealthplan.org/apply) - [Do I Qualify](https://www.texaschildrenshealthplan.org/apply/do-i-qualify) - [What Does It Cost?](https://www.texaschildrenshealthplan.org/apply/what-does-it-cost) - [Application Assistance](https://www.texaschildrenshealthplan.org/apply/application-assistance) - [Renew My Plan](https://www.texaschildrenshealthplan.org/apply/renew-my-plan) - [Testimonial Videos](https://www.texaschildrenshealthplan.org/apply/testimonials) - [Your Health](https://www.texaschildrenshealthplan.org/your-health) - [Health Risk Assessment](https://www.texaschildrenshealthplan.org/your-health/health-risk-assessment) - [Nutrition and General Wellness](https://www.texaschildrenshealthplan.org/your-health/weight-management) - [Glossary](https://www.texaschildrenshealthplan.org/your-health/glossary) - [Pregnancy and Postpartum Care](https://www.texaschildrenshealthplan.org/your-health/pregnancy-and-postpartum-care) - [First Trimester](https://www.texaschildrenshealthplan.org/your-health/pregnancy/first-trimester) - [Second Trimester](https://www.texaschildrenshealthplan.org/your-health/pregnancy/second-trimester) - [Third Trimester](https://www.texaschildrenshealthplan.org/your-health/pregnancy/third-trimester) - [Fourth Trimester](https://www.texaschildrenshealthplan.org/your-health/pregnancy/fourth-trimester) - [Infant Child and Young Adult](https://www.texaschildrenshealthplan.org/your-health/infant-child-young-adult-health-care) - [Infant and Child Health Care](https://www.texaschildrenshealthplan.org/child) - [Young Adult Health Care](https://www.texaschildrenshealthplan.org/youngadult) - [Health Conditions and Treatments](https://www.texaschildrenshealthplan.org/your-health/health-conditions-and-treatments) - [Asthma](https://www.texaschildrenshealthplan.org/your-health/asthma) - [Autism](https://www.texaschildrenshealthplan.org/your-health/autism) - [Behavioral Health](https://www.texaschildrenshealthplan.org/your-health/behavioral-health) - [Cold, Flu, Allergies](https://www.texaschildrenshealthplan.org/your-health/health-conditions-and-treatments/cold-flu-allergies) - [Diabetes](https://www.texaschildrenshealthplan.org/your-health/diabetes) - [Mental Health](https://www.texaschildrenshealthplan.org/mentalhealth) ## The Plan You Can Trust We make it easy for Texas families to get the care they deserve with a name they trust. See why - [How to Apply](https://www.texaschildrenshealthplan.org/get-covered) - [Your Benefits](https://www.texaschildrenshealthplan.org/benefits) - [Find a Provider](https://www.texaschildrenshealthplan.org/doctor) ## About the Health Plan Texas Children’s Health Plan was founded in 1996 by Texas Children’s Hospital. We are the nation's first health maintenance organization (HMO) created just for children. We cover kids, teens, pregnant women, and adults. If you are able to get Medicaid or the Children’s Health Insurance Program (CHIP), we have a large group of more than 4,300 doctors, 6,800 specialists, 118 hospitals, and health resources to care for your needs. - [Application Assistance Services](https://www.texaschildrenshealthplan.org/apply "How to Apply") - [24-Hour Nurse Help Line](https://www.texaschildrenshealthplan.org/contact-us "Contact Us") - [Member Services Hotline](https://www.texaschildrenshealthplan.org/contact-us "Contact Us") - [Transportation Services](https://www.texaschildrenshealthplan.org/benefits/transportation-assistance "Transportation Assistance") ### What We Offer Finding the right health plan for your family is important. Below you’ll find some of the exclusive benefits that are available to Texas Children’s Health Plan members. ![](https://www.texaschildrenshealthplan.org/sites/default/files/2022-08/hero-how-to-renew-card.jpg)[How to Renew](https://www.texaschildrenshealthplan.org/apply/renew-my-plan) It’s easier to renew while you still have CHIP and/or Medicaid coverage, and having good healthcare will prepare you for whatever comes your way. Renew now to continue access to benefits like doctor visits, prescriptions and dental care. Read more ![](https://www.texaschildrenshealthplan.org/sites/default/files/2023-08/vas-card-fy24-957x600.png)[Healthy Rewards Program](https://www.texaschildrenshealthplan.org/benefits/healthy-rewards) At Texas Children’s Health Plan, we go beyond our members’ medical needs. We offer extra benefits for you and your family to enjoy, in addition to rewarding you for keeping track of your health\! Read more ![](https://www.texaschildrenshealthplan.org/sites/default/files/2025-10/mychart-card-957x600.jpg)[Texas Children’s® MyChart](https://www.texaschildrenshealthplan.org/mychart) What is MyChart? It's our free member portal where you can update your Primary Care Provider (PCP), request a new Member ID card, and more, all from the convenience of your phone. Read more ![](https://www.texaschildrenshealthplan.org/sites/default/files/2022-08/hero-pregnant-members-card.jpg)[Pregnant Members](https://www.texaschildrenshealthplan.org/benefits/for-pregnant-members) Texas Children’s Health Plan is dedicated to helping you have a healthy pregnancy. Learn more about the resources and services available to pregnant members. Read more ### **A better plan today means bigger dreams tomorrow.** [Need help with your application?](https://forms.office.com/pages/responsepage.aspx?id=UHZPhkXFdE-aK7VHBcA1d2q7SRkB72RLuHAZ-TCDRMlURE80NzFTVUhINk5NUUpORjVIV0pUOElTUS4u) ## Helpful Information HHSC continues to require of Texas Children’s Health Plan to allow an extension for up to 30 days for members to request continuation of benefits after they receive an adverse benefit determination. This continuation of benefits extension time frame will end June 30, 2021. Starting July 1, 2021, Texas Children’s Health Plan must apply the normal, regular and set timeframes for members to request continuation of benefits, which is no later than 10 days from the date they receive the adverse benefit determination notice. Texas Children’s Health Plan is partnered with SafeRide Health (SRH) to provide our members with **transportation services at no cost to a doctor’s appointment, a dental visit and/or the pharmacy**. Transportation services are also provided for qualifying classes or events sponsored by the health plan. **Schedule a Ride by Phone:** Members must schedule a ride with Texas Children’s Transportation Line over the phone if you are requesting it for the first time or going to a new location. Call the following numbers to schedule your ride Monday through Friday from 6:00 a.m.-8:00 p.m. CT. - 888-583-0110 - \*interpreter services are available [Click here for more information](https://www.texaschildrenshealthplan.org/benefits/transportation-assistance "Transportation Assistance") about our Transportation Services\! Lost your coverage? There are a number of programs offered through Texas Health and Human Services that can help. - [**The Healthy Texas Women Program**](https://www.healthytexaswomen.org/) - offers women’s health and family planning services. Is available to Texas women who meet the program rules. - [**Healthy Texas Women Plus**](https://www.healthytexaswomen.org/healthcare-programs/healthy-texas-women) – gives more postpartum services for women. Available to those in the Healthy Texas Women program. - [**Family Planning Program**](https://www.healthytexaswomen.org/healthcare-programs/family-planning-program) – focused on family planning and other healthcare. Available to women and men in Texas. - [**Primary Health Care Program**](https://www.hhs.texas.gov/services/health/primary-health-care-services-program) - works with clinics across Texas. It makes sure Texas residents can get the primary care they need. The program serves men, women and children. Each program has rules for who can join. Visit the links above for more information on what they cover and how to join. Texas Children’s Health Plan provides a Member Advocate to assist you if you have a complaint. Our team of member advocates will help you write and file a complaint or appeal on your behalf and monitor it until it is resolved. We have a member advocate dedicated for each line of business and service delivery area. We speak English and Spanish. We also have interpreters available by phone who speak 140 different languages. To have a Member Advocate assigned to you, call 866-219-5411. Before going to the Emergency Room, call the Nurse Help Line (unless it is an emergency). You can get advice from a nurse about health issues you may be having. You can also get tips on understanding doctor’s instructions, and more. We are available 24-hours a day, 7 days a week. We speak English or Spanish. We also have interpreters available by phone who speak 140 different languages. **1-800-686-3831 or TTY 1-800-735-2989** 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. **Here are some services our team can help you with, if needed:** - Oral interpretation (over the phone and face to face) and written translations assistance. Sign language available. - Information in formats such as print, Braille, audiotapes or accessible electronic. - Access to TTY/TDD services for hearing and speech impairment **Member Services Program Hotlines:** - 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 In case of an emergency, go to your nearest in-network emergency room or call 9-1-1. Emergency Service and Behavioral Health services are available 24 hours a day, 7 days a week. No primary care provider referral is needed. The hotline has people who speak English and Spanish. Interpreters who speak 140 different languages are also available by phone. If you have an emergency and need treatment immediately, call 9-1-1 or go to the nearest emergency room. **Behavioral Health/Substance Abuse Hotline:** - CHIP: 1-800-731-8528 - STAR: 1-800-731-8529 - STAR Kids: 1-800-731-8529 ([Service Coordination](https://www.texaschildrenshealthplan.org/benefits/star-kids/service-coordination "Service Coordination")) **Provider Services Hotline** Providers can use this number for claims, inquiries, questions, and information about CHIP, STAR, or STAR Kids products and to check eligibility/benefits. **Phone: 832-828-1004, Toll free: 1-877-213-5508** **Hours 8 a.m. to 5 p.m. CT, 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. **Telephone TouCHPoint** Texas Children’s Health Plan’s automated Telephone TouCHPoint system allows Texas Children’s Health Plan providers to check eligibility, benefits, and claims status after hours. The service is available 24 hours a day, 7 days a week. To access Telephone TouCHPoint call 832-828-1007. Enter the member’s identification number and the provider’s NPI number. **Telephone TouCHPoint: 832-828-1007** **Fax: 832-825-8777** The Children’s Health Insurance Program (CHIP) offers low-cost health coverage for children from birth through age 18. CHIP is designed for families who earn too much money to qualify for Medicaid but cannot afford to buy private health coverage. We offer CHIP in more than 20 counties in the Jefferson and Harris Service Areas. [Click here to learn more about CHIP](https://www.texaschildrenshealthplan.org/benefits/chip "CHIP"). Image ![CHIP HHSC](https://www.texaschildrenshealthplan.org/sites/default/files/styles/scale_width_480/public/2022-09/CHIP-HHS_fc.png?itok=aJQy2Gvm) STAR is a Medicaid-managed care plan. This plan helps family members of any age. Texas Children’s Health Plan offers STAR in more than 20 counties in the Jefferson and Harris Service Areas. Learn more about STAR. [Click here to learn more about the STAR program](https://www.texaschildrenshealthplan.org/benefits/star-medicaid "STAR (Medicaid)"). Image ![STAR Medicaid](https://www.texaschildrenshealthplan.org/sites/default/files/styles/scale_width_480/public/2022-09/TX_Star-HHS_fc.png?itok=0w8HMH5B) STAR Kids is a Medicaid-managed care plan. This plan helps children and young adults under the age of 21 with disabilities. Texas Children’s Health Plan offers STAR Kids in the Harris, Jefferson and Northeast Service Areas. [Click here to learn more about the STAR Kids program.](https://www.texaschildrenshealthplan.org/benefits/star-kids "STAR Kids") Image ![STAR Kids](https://www.texaschildrenshealthplan.org/sites/default/files/styles/scale_width_480/public/2022-09/TX_StarKids-HHS_fc.png?itok=JwX6VvyH) Texas Children’s Health Plan offers CHIP perinatal services. CHIP prenatal is no-cost health coverage for pregnant women. To get CHIP perinatal, you must: - Meet certain income requirements. - Not qualify for Medicaid. - Not have any other health coverage. [Click here to learn more about CHIP Perinatal.](https://www.texaschildrenshealthplan.org/benefits/for-pregnant-members "Your Pregnancy Benefits") Image ![CHIP HHSC](https://www.texaschildrenshealthplan.org/sites/default/files/styles/scale_width_480/public/2022-09/CHIP-HHS_fc.png?itok=aJQy2Gvm) **How is the Texas Vendor Drug Program (VDP) used for Texas Children's Health Plan Medicaid members?** Navitus is the provider for drug store services for members. The Texas VDP maintains and publishes the Texas VDP Formulary and the associated PDL. It also maintains and publishes the clinical guidelines for drugs not on the PDL which require pre-approval, and are used by Navitus to give benefits for Texas Children's Health Plan STAR and CHIP members. **What drug stores does Navitus have contracts with?** Navitus has contracts with more than 95% of the VDP providers in Texas. The Navitus drug store network includes national chain drug stores such as Walgreen's, CVS, HEB, Wal-Mart, Target, and Kroger. And many others. [Navitus' drug store network can be found here](https://www.goperspecta.com/VPD/TexasChildrensHealthPlan/public/ProviderSearch/Pharmacy "Navitus'drug store network can be found here"). Contact Member Services at **1-866-959-6555 (CHIP) or 1-866-959-2555 (STAR)** if you need help finding a drug store. We want you to have the best resources for your health. Here is a list of helpful websites and links to our vendors: **Prescriptions** [Pharmacy Search](https://goperspecta.com/VPD/TexasChildrensHealthPlan/public/ProviderSearch/Pharmacy) **Vision Care** [Envolve Vision](https://visionbenefits.envolvehealth.com/fap/tchp) - 1-844-520-3711 (CHIP) - 1-844-683-2305 (STAR) - 1-844-212-7269 (STAR Kids) **Dental Care** Your child will have one of the following dental plans: - [DentaQuest](http://www.dentaquest.com/) 1-800-508-6775 - [MCNA Dental](http://www.mcna.net/) 1-800-494-6262 - [UHC](https://dentaltx.uhc.com/content/texas-medicaid/en/find-a-dentist.html) 1-877-901-7321 If you don't know who your child's CHIP dental plans is, call CHIP toll-free at 1-866-959-6555 **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 State 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 TTY/TDD: 1-800-735-2989 (Texas Relay) or 7-1-1 [Click here for more information on State Fair Hearings](https://www.texaschildrenshealthplan.org/sites/default/files/pdf/STAR-Handbook-Fair-Hearing-ENG.pdf "What is a Fair Hearing?") Provides free aids and services to people with disabilities to communicate effectively with us, such as: - Qualified sign language interpreters - Written information in other formats (large print, audio, accessible electronic formats, braille, and other formats) Provides free language services to people whose primary language is not English, such as: - Qualified interpreters - Information written in other languages If you need these services, contact Texas Children’s Health Plan Member Services Department at 866-959-2555 (STAR), 866-959-6555 (CHIP), 800-659-5764 (STAR Kids) (TTY 7-1-1) Through the new online member portal, Texas Children’s Health Plan members can use their health data to discover the latest health care and fitness apps. Once connected, you will be able to get an accurate picture of your health and elevate your fitness progress to new heights. \| [Learn more](https://www.texaschildrenshealthplan.org/interoperability "Interoperability ") **For Members** [CHIP](https://www.texaschildrenshealthplan.org/benefits/chip "CHIP") [STAR (Medicaid)](https://www.texaschildrenshealthplan.org/benefits/star-medicaid "STAR (Medicaid)") [STAR Kids](https://www.texaschildrenshealthplan.org/benefits/star-kids "STAR Kids") [Pregnant Members](https://www.texaschildrenshealthplan.org/benefits/for-pregnant-members "Your Pregnancy Benefits") [Member Login](https://mychart.texaschildrens.org/mychart/Authentication/Login) **For Providers** [Telephone TouCHPoint](https://www.texaschildrenshealthplan.org/providers/telephone-touchpoint "Telephone TouCHPoint") [Downloadable Forms](https://www.texaschildrenshealthplan.org/providers/provider-resources/forms-and-manuals "Provider Forms") [Provider News](https://www.texaschildrenshealthplan.org/for-providers/provider-newsletter "Provider Newsletter") [Provider Events](https://www.texaschildrenshealthplan.org/providers/provider-events "Provider Training & Events") [Provider Login](https://epiccarelink.texaschildrens.org/EpicCareLink/common/epic_login.asp) **About Us** [About Us](https://www.texaschildrenshealthplan.org/about-us "About Texas Children's Health Plan") [Careers](https://www.texaschildrenspeople.org/locations/health-plan/) [Contact Us](https://www.texaschildrenshealthplan.org/contact-us "Contact Us") [Texas Children's Family Resources](https://txchfamilyresources.org/) Nurse Help Line 1-800-686-3831 or TTY 1-800-735-2989 *** Connect with Texas Children's Health Plan on our social media channels - Texas Children\&\#039;s Health Plan on Facebook - Texas Children\&\#039;s Health Plan on YouTube - Texas Children\&\#039;s Health Plan on Instagram [![Texas Children's logo](https://www.texaschildrenshealthplan.org/themes/custom/tchp/images/logos/TCHP_Horz_CMYK_2K22.svg)](https://www.texaschildrenshealthplan.org/ "Go home") © 2026 Texas Children's Hospital - [Legal Notices](https://www.texaschildrenshealthplan.org/legal-notices) - [Terms of Use](https://www.texaschildrenshealthplan.org/terms-of-use) - [OIG](https://oig.hhs.texas.gov/) [![Your Texas Benefits](https://www.texaschildrenshealthplan.org/sites/default/files/2025-04/CHIP-STAR-STAR-Kids-HHS_bw-400x47.png)](https://www.yourtexasbenefits.com/ "Your Texas Benefits") © 1998–2025 Texas Children's Health Plan. 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HHSC continues to require of Texas Children’s Health Plan to allow an extension for up to 30 days for members to request continuation of benefits after they receive an adverse benefit determination. This continuation of benefits extension time frame will end June 30, 2021. Starting July 1, 2021, Texas Children’s Health Plan must apply the normal, regular and set timeframes for members to request continuation of benefits, which is no later than 10 days from the date they receive the adverse benefit determination notice. Texas Children’s Health Plan is partnered with SafeRide Health (SRH) to provide our members with **transportation services at no cost to a doctor’s appointment, a dental visit and/or the pharmacy**. Transportation services are also provided for qualifying classes or events sponsored by the health plan. **Schedule a Ride by Phone:** Members must schedule a ride with Texas Children’s Transportation Line over the phone if you are requesting it for the first time or going to a new location. Call the following numbers to schedule your ride Monday through Friday from 6:00 a.m.-8:00 p.m. CT. - 888-583-0110 - \*interpreter services are available [Click here for more information](https://www.texaschildrenshealthplan.org/benefits/transportation-assistance "Transportation Assistance") about our Transportation Services\! Lost your coverage? There are a number of programs offered through Texas Health and Human Services that can help. - [**The Healthy Texas Women Program**](https://www.healthytexaswomen.org/) - offers women’s health and family planning services. Is available to Texas women who meet the program rules. - [**Healthy Texas Women Plus**](https://www.healthytexaswomen.org/healthcare-programs/healthy-texas-women) – gives more postpartum services for women. Available to those in the Healthy Texas Women program. - [**Family Planning Program**](https://www.healthytexaswomen.org/healthcare-programs/family-planning-program) – focused on family planning and other healthcare. Available to women and men in Texas. - [**Primary Health Care Program**](https://www.hhs.texas.gov/services/health/primary-health-care-services-program) - works with clinics across Texas. It makes sure Texas residents can get the primary care they need. The program serves men, women and children. Each program has rules for who can join. Visit the links above for more information on what they cover and how to join. Texas Children’s Health Plan provides a Member Advocate to assist you if you have a complaint. Our team of member advocates will help you write and file a complaint or appeal on your behalf and monitor it until it is resolved. We have a member advocate dedicated for each line of business and service delivery area. We speak English and Spanish. We also have interpreters available by phone who speak 140 different languages. To have a Member Advocate assigned to you, call 866-219-5411. Before going to the Emergency Room, call the Nurse Help Line (unless it is an emergency). You can get advice from a nurse about health issues you may be having. You can also get tips on understanding doctor’s instructions, and more. We are available 24-hours a day, 7 days a week. We speak English or Spanish. We also have interpreters available by phone who speak 140 different languages. **1-800-686-3831 or TTY 1-800-735-2989** 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. **Here are some services our team can help you with, if needed:** - Oral interpretation (over the phone and face to face) and written translations assistance. Sign language available. - Information in formats such as print, Braille, audiotapes or accessible electronic. - Access to TTY/TDD services for hearing and speech impairment **Member Services Program Hotlines:** - 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 In case of an emergency, go to your nearest in-network emergency room or call 9-1-1. Emergency Service and Behavioral Health services are available 24 hours a day, 7 days a week. No primary care provider referral is needed. The hotline has people who speak English and Spanish. Interpreters who speak 140 different languages are also available by phone. If you have an emergency and need treatment immediately, call 9-1-1 or go to the nearest emergency room. **Behavioral Health/Substance Abuse Hotline:** - CHIP: 1-800-731-8528 - STAR: 1-800-731-8529 - STAR Kids: 1-800-731-8529 ([Service Coordination](https://www.texaschildrenshealthplan.org/benefits/star-kids/service-coordination "Service Coordination")) **Provider Services Hotline** Providers can use this number for claims, inquiries, questions, and information about CHIP, STAR, or STAR Kids products and to check eligibility/benefits. **Phone: 832-828-1004, Toll free: 1-877-213-5508** **Hours 8 a.m. to 5 p.m. CT, 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. **Telephone TouCHPoint** Texas Children’s Health Plan’s automated Telephone TouCHPoint system allows Texas Children’s Health Plan providers to check eligibility, benefits, and claims status after hours. The service is available 24 hours a day, 7 days a week. To access Telephone TouCHPoint call 832-828-1007. Enter the member’s identification number and the provider’s NPI number. **Telephone TouCHPoint: 832-828-1007** **Fax: 832-825-8777** The Children’s Health Insurance Program (CHIP) offers low-cost health coverage for children from birth through age 18. CHIP is designed for families who earn too much money to qualify for Medicaid but cannot afford to buy private health coverage. We offer CHIP in more than 20 counties in the Jefferson and Harris Service Areas. [Click here to learn more about CHIP](https://www.texaschildrenshealthplan.org/benefits/chip "CHIP"). Image ![CHIP HHSC](https://www.texaschildrenshealthplan.org/sites/default/files/styles/scale_width_480/public/2022-09/CHIP-HHS_fc.png?itok=aJQy2Gvm) STAR is a Medicaid-managed care plan. This plan helps family members of any age. Texas Children’s Health Plan offers STAR in more than 20 counties in the Jefferson and Harris Service Areas. Learn more about STAR. [Click here to learn more about the STAR program](https://www.texaschildrenshealthplan.org/benefits/star-medicaid "STAR (Medicaid)"). Image ![STAR Medicaid](https://www.texaschildrenshealthplan.org/sites/default/files/styles/scale_width_480/public/2022-09/TX_Star-HHS_fc.png?itok=0w8HMH5B) STAR Kids is a Medicaid-managed care plan. This plan helps children and young adults under the age of 21 with disabilities. Texas Children’s Health Plan offers STAR Kids in the Harris, Jefferson and Northeast Service Areas. [Click here to learn more about the STAR Kids program.](https://www.texaschildrenshealthplan.org/benefits/star-kids "STAR Kids") Image ![STAR Kids](https://www.texaschildrenshealthplan.org/sites/default/files/styles/scale_width_480/public/2022-09/TX_StarKids-HHS_fc.png?itok=JwX6VvyH) Texas Children’s Health Plan offers CHIP perinatal services. CHIP prenatal is no-cost health coverage for pregnant women. To get CHIP perinatal, you must: - Meet certain income requirements. - Not qualify for Medicaid. - Not have any other health coverage. [Click here to learn more about CHIP Perinatal.](https://www.texaschildrenshealthplan.org/benefits/for-pregnant-members "Your Pregnancy Benefits") Image ![CHIP HHSC](https://www.texaschildrenshealthplan.org/sites/default/files/styles/scale_width_480/public/2022-09/CHIP-HHS_fc.png?itok=aJQy2Gvm) **How is the Texas Vendor Drug Program (VDP) used for Texas Children's Health Plan Medicaid members?** Navitus is the provider for drug store services for members. The Texas VDP maintains and publishes the Texas VDP Formulary and the associated PDL. It also maintains and publishes the clinical guidelines for drugs not on the PDL which require pre-approval, and are used by Navitus to give benefits for Texas Children's Health Plan STAR and CHIP members. **What drug stores does Navitus have contracts with?** Navitus has contracts with more than 95% of the VDP providers in Texas. The Navitus drug store network includes national chain drug stores such as Walgreen's, CVS, HEB, Wal-Mart, Target, and Kroger. And many others. [Navitus' drug store network can be found here](https://www.goperspecta.com/VPD/TexasChildrensHealthPlan/public/ProviderSearch/Pharmacy "Navitus'drug store network can be found here"). Contact Member Services at **1-866-959-6555 (CHIP) or 1-866-959-2555 (STAR)** if you need help finding a drug store. We want you to have the best resources for your health. Here is a list of helpful websites and links to our vendors: **Prescriptions** [Pharmacy Search](https://goperspecta.com/VPD/TexasChildrensHealthPlan/public/ProviderSearch/Pharmacy) **Vision Care** [Envolve Vision](https://visionbenefits.envolvehealth.com/fap/tchp) - 1-844-520-3711 (CHIP) - 1-844-683-2305 (STAR) - 1-844-212-7269 (STAR Kids) **Dental Care** Your child will have one of the following dental plans: - [DentaQuest](http://www.dentaquest.com/) 1-800-508-6775 - [MCNA Dental](http://www.mcna.net/) 1-800-494-6262 - [UHC](https://dentaltx.uhc.com/content/texas-medicaid/en/find-a-dentist.html) 1-877-901-7321 If you don't know who your child's CHIP dental plans is, call CHIP toll-free at 1-866-959-6555 **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 State 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 TTY/TDD: 1-800-735-2989 (Texas Relay) or 7-1-1 [Click here for more information on State Fair Hearings](https://www.texaschildrenshealthplan.org/sites/default/files/pdf/STAR-Handbook-Fair-Hearing-ENG.pdf "What is a Fair Hearing?") Provides free aids and services to people with disabilities to communicate effectively with us, such as: - Qualified sign language interpreters - Written information in other formats (large print, audio, accessible electronic formats, braille, and other formats) Provides free language services to people whose primary language is not English, such as: - Qualified interpreters - Information written in other languages If you need these services, contact Texas Children’s Health Plan Member Services Department at 866-959-2555 (STAR), 866-959-6555 (CHIP), 800-659-5764 (STAR Kids) (TTY 7-1-1) Through the new online member portal, Texas Children’s Health Plan members can use their health data to discover the latest health care and fitness apps. Once connected, you will be able to get an accurate picture of your health and elevate your fitness progress to new heights. \| [Learn more](https://www.texaschildrenshealthplan.org/interoperability "Interoperability ")
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