Eligibility and benefits

Resolve eligibility and benefit questions after checking the payer portal. A benefit quote does not guarantee payment.

eligibility benefits

FirstCare STAR Medicaid — eligibility, benefits and customer service (run-out)

Official page read

Phone800-431-7798Published hours

Not published in this record

Product, plan and location

medicaid
Texas

Mailing address

Not researched for this route

Run-out only: FirstCare Health Plans left Texas Medicaid (STAR) and CHIP managed care on Aug. 31, 2026; use for dates of service through Aug. 31, 2026. Services from Sept. 1, 2026 go to the patient's new MCO (inpatient stays spanning the date must be split-billed). FirstCare is owned by Baylor Scott & White Health Plan.

View source ↗ · Source checked 2026-10-25 · Provider FAQ on the Aug. 31, 2026 exit and split billing ↗

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

eligibility benefits

FirstCare CHIP and CHIP Perinatal — eligibility, benefits and customer service (run-out)

Official page read

Phone877-639-2447Published hours

Not published in this record

Product, plan and location

chip
Texas

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-25 · Provider FAQ on the Aug. 31, 2026 exit and split billing ↗

Report an update

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Call preparation · editorial guide

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Resolve eligibility and benefit questions after checking the payer portal. A benefit quote does not guarantee payment.

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Member and subscriber details from the card
Proposed service dates and procedure codes
Provider location and network information

Questions to resolve

Is coverage active for this date and service?
Do limits, referrals, authorizations or other coverage affect this request?
What source and reference support the benefit quote?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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