Health plans and insurers

Texas Children's Health Plan

Phone, published email, fax, addresses and the next step for your office.

16 contact routesNo directory research calls placed

provider services

Provider services — STAR, STAR Kids and CHIP (Houston/Jefferson/Nueces areas)

Official page read

Phone832-828-1004Published hours

8 a.m. to 5 p.m. CT, Monday through Friday

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

Claim inquiry, eligibility/benefits and general provider questions for TCHP STAR (Medicaid), STAR Kids and CHIP. Toll-free 1-877-213-5508 on the contact page; provider manual and PA page list toll-free 1-800-731-8527.

View source ↗ · Source checked 2026-10-24 · provider manual contact table ↗

Report an update

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

eligibility benefits

Telephone TouCHPoint — automated eligibility and claim status (24/7)

Official page read

Phone832-828-1007Published hours

24 hours a day, 7 days a week

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

IVR for eligibility and claims status; enter provider NPI and member Medicaid ID. Page also lists 832-828-1004.

View source ↗ · Source checked 2026-10-24 · contact page TouCHPoint ↗

Report an update

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

fax prior auth

Prior authorization fax — medical services

Official page read

Phone

No phone listed for this route

Fax

832-825-8760

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

Medical outpatient/service PA fax (toll-free fax 1-844-473-6860). PA questions: 1-800-731-8527.

View source ↗ · Source checked 2026-10-24 · manual PA fax lines ↗

Report an update

fax prior auth

Prior authorization fax — behavioral health services

Official page read

Phone

No phone listed for this route

Fax

832-825-8767

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

Behavioral health PA fax (toll-free fax 1-844-291-7505).

View source ↗ · Source checked 2026-10-24 · manual PA fax lines ↗

Report an update

fax prior auth

Inpatient admission and discharge notification fax

Official page read

Phone

No phone listed for this route

Fax

832-825-8462

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

Medical inpatient admission and discharge notifications (toll-free fax 844-663-7071).

View source ↗ · Source checked 2026-10-24

Report an update

fax prior auth

LTSS and private duty nursing PA fax (STAR Kids)

Official page read

Phone

No phone listed for this route

Fax

346-232-4757

Published hours

Not published in this record

Product, plan and location

medicaid
Texas

Mailing address

Not researched for this route

LTSS and PDN authorization requests (toll-free fax 1-844-248-1567).

View source ↗ · Source checked 2026-10-24

Report an update

fax prior auth

Hospital discharge authorization fax

Official page read

Phone

No phone listed for this route

Fax

866-839-9879

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

Services/equipment needed immediately after discharge for currently hospitalized members.

View source ↗ · Source checked 2026-10-24

Report an update

pharmacy prior auth

Pharmacy prior authorization — Navitus for TCHP

Official page read

Phone877-908-6023Fax

855-668-8553

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

Medication PA inquiries for providers and pharmacies (Navitus, STAR/CHIP/STAR Kids). Fax per provider manual. Pharmacy PA appeals go to TCHP.

View source ↗ · Source checked 2026-10-24 · manual Navitus PA fax ↗

Report an update

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

claims

Claims, corrections and claim appeals mailing address

Official page read

Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Texas Children's Health Plan Claims PO Box 300286 Houston, TX 77230-0286

Claims, corrections and appeals

Paper claims, corrected claims and claim appeals. Filing deadline 95 days from DOS. Availity payer IDs: STAR 75228, CHIP 76048.

View source ↗ · Source checked 2026-10-24

Report an update

appeals grievances

Provider complaints

Official page read

Phone832-828-1004Fax

832-825-8750

Published email

tchpproviderconcerns@texaschildrens.org

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

Provider complaints per provider manual contact table.

View source ↗ · Source checked 2026-10-24

Report an update

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

appeals grievances

Member appeals department (medical necessity)

Official page read

Phone832-828-1001Fax

832-825-8796

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Texas Children's Health Plan Attention: Appeals Department NB8390 PO Box 300709 Houston, TX 77230

Appeals

Member appeals of adverse benefit determinations (STAR line shown; toll-free 1-866-959-2555). Pharmacy PA appeal fax is the same 832-825-8796.

View source ↗ · Source checked 2026-10-24

Report an update

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

provider enrollment credentialing

Credentialing department (status and corrections)

Official page read

Phone

No phone listed for this route

Published email

CredentialingResponse@texaschildrens.org

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

Credentialing status requests and corrections; applications processed by Verisys (state CVO).

View source ↗ · Source checked 2026-10-24

Report an update

provider enrollment credentialing

Contracting / Provider Network Management

Official page read

Phone832-828-1004Fax

832-825-9360

Published email

TCHPNetworkManagement@texaschildrens.org

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

Menu guidance in the source record

option 6

Menus can change. No live call verification is claimed.

Contracting and network management inquiries.

View source ↗ · Source checked 2026-10-24

Report an update

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

member services

Member services — STAR (Medicaid)

Official page read

Phone832-828-1001TTY phone800-735-2989Published hours

8 a.m. to 5 p.m. CT, Monday through Friday

Product, plan and location

medicaid
Texas

Mailing address

Not researched for this route

Member line; toll-free 1-866-959-2555. CHIP members 832-828-1002 / 1-866-959-6555; STAR Kids 832-828-1003 / 1-800-659-5764.

View source ↗ · Source checked 2026-10-24

Report an update

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

behavioral health

Behavioral health / substance abuse hotline (24/7)

Official page read

Phone800-731-8529Published hours

24 hours a day, 7 days a week

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

Member-facing BH hotline; no PCP referral needed.

View source ↗ · Source checked 2026-10-24

Report an update

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

case management

Case management and women's health

Official page read

Phone832-828-1430Published hours

Not published in this record

Product, plan and location

medicaid · chip
Texas

Mailing address

Not researched for this route

Case management and women's health line; fax 832-825-8745 per provider manual.

View source ↗ · Source checked 2026-10-24

Report an update

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

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Texas Children's Health Plan

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