Tools and Resources for
STAR and CHIP Members

At FirstCare Health Plans, giving you access to helpful plan information is important to us.

Did you know you can find useful tips and tools in your Member Handbook?

Please read your handbook (and click on the topics linked below), to learn about your benefits, how to find a doctor, how to use your plan and more. Questions? Contact us weekdays from 7 a.m. to 7 p.m. CT. 

  • Your plan benefits, including services covered and not covered
  • How to receive primary care services 
  • How to get services for specialty care, behavioral health care and hospital care
  • How to find information about doctors in our network
  • How to get approval for medicine, treatment, surgery, or hospital stays
  • Your costs for services, including copays and other charges
  • How to submit a claim for covered services, if needed
  • A list of the approved medicines in your plan
  • How to get care outside of our plan
  • How to get language assistance STAR | CHIP
  • How and when to get emergency care/call 911
  • How to get care after office hours
  • Expecting the Best® Maternity Program
  • How to get healthy and stay healthy
  • Service Coordination services
  • FirstCare's decisions about new tests, medicine or treatments
  • How to submit a complaint or appeal
  • FirstCare's Compliance program
  • How we guard the privacy of health information
  • How to get care when sick and traveling
  • Your member rights and responsibilities
  • What to do if you have questions about your plan, your bill, and other frequently asked questions

Did you know you can change your primary care doctor on our member portal?

You can choose a new doctor or OB/Gyn in the portal, anytime, with a few easy clicks.
To get started:

  • Log into the portal
  • Click View/Edit My Info
  • Click My Providers
  • Choose your new doctor and effective date

Member Portal

Log In/Register

Find a Provider

Provider directories:

STAR (Lubbock)
STAR (MRSA)
CHIP

Virtual Care

Need Help?
Contact Us!

8 a.m.-5 p.m. weekdays

...excluding state-approved holidays.

We can help you find a doctor, schedule a checkup or answer any questions you have about your benefits.

If you call after hours, please leave us a message. We return all calls the next business day.

Our Customer Service Representatives speak English and Spanish. If you speak another language, we can connect you with an interpreter.

800-431-STAR (7798)

877-639-CHIP (2447)

Members with hearing loss can call the Relay Texas number 711. Relay Texas is a free telephone interpreting service to help people with hearing or speech disabilities.

Authorization Information

Resources

Talk to a Nurse—Nurse24™

Need care advice?

Should you see a doctor?

Get answers 24/7! Information is available in English and Spanish. Interpreter services available upon request.

855-828-1013

TTY users: 711 or 800-955-8771

Voice communication: 800-955-8770

Healthy Texas Women Plus

Texas HHSC implemented Healthy Texas Women (HTW) Plus, an enhanced, cost-effective and limited postpartum services package for women in the HTW program. HTW Plus will be provided for no more than 12 months after the start date. Women in HTW Plus will have access to HTW and HTW Plus benefits.

healthytexaswomen.org

Utilization Management

Ever wonder how we decide to authorize services? Our decisions are based on medical evidence and consensus of health care professionals.

Utilization Management Decisions

Health Plan Decisions

State Fair Hearing

Members who disagree with the health plan's decision have the right to ask for a fair hearing only after exhausting the MCO Internal Appeal System provided by FirstCare. Ask for a State Fair Hearing by contacting us toll free. Our Member Services can help you file a fair hearing.

External Medical Review

Members sho disagree with the health plan's decision have the right to ask for a State Fair Hearing (standard or expedited) only after exhausting our Internal Appeals process or you can ask for a State Fair Hearing with an External Medical Review (EMR) (standard or expedited). You cannot only ask for an External Medical Review. An EMR is an optional, extra step for the member to have a case outside the Hearing, free of charge. To request an EMR, call us.

800-431-7798 / TTY 711.

Non-Emergency Medical Transportation (NEMT)

833-779-3105

access2care.net/texas View more information

Prescription Benefits Manager

855-897-4448

Navitus Health Solutions

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