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Individuals & Families
Did you know you can change your primary care doctor on our member portal?
Click here for more information.
Attention STAR and CHIP Members!

Check out our Value Added Services (VAS) program details!

  • STAR Members - for more information, click here.
  • CHIP Members - for more information, click here.
HHSC Medicaid Reenrollment
Medicaid members who have renewals due during the pandemic will receive a notice from HHSC on next steps to take to maintain their Medicaid coverage after the pandemic ends. Please follow the instructions on any notice you get from HHSC. Click here for details.
Similac Baby Formula Voluntary Recall
Please visit the Abbott website for more information about the voluntary recall of specific Similac products.
COVID-19: What you need to know about the outbreak of the coronavirus
We care about the health and well-being of all of our members—as we continue to monitor the spread of COVID-19, we are committed to keeping you informed. More information | HHSC Policy Flexibility for Member Appeals to End March 31
Meet the Grow Well app, available now to FirstCare Medicaid/CHIP members at no charge.
It’s your one place to find trusted health information for you and your family through every age and stage of life. Plus, you can directly connect to resources. Learn more.
Applied Behavior Analysis (ABA) Services:
Starting February 1, 2022, FirstCare will be providing Applied Behavior Analysis (ABA) services as a new Medicaid managed care benefit for members with Autism Spectrum Disorder (ASD).  Autism spectrum disorder (ASD) is a condition characterized by restricted, repetitive patterns of behavior, interests, or activities and deficits in social communication and social interaction, with onset of symptoms occurring in early childhood.
 
What Services are provided? 
ABA services must be approved through FirstCare as a medically necessary service, required to treat, correct, or improve the member's condition. A diagnosis of autism spectrum disorder alone does not support the medical necessity of ABA.  Licensed Behavior Analyst (LBA) is a new Medicaid provider type that will be providing these services.  ABA services include ABA initial evaluation, re-evaluation, individual treatment, group treatment, parent/caregiver/family education and training, and collaborative team meetings.  Please contact your/your child’s doctor, visit FirstCare’s website, or call Member Services at 800-431-7798 to help find an in-network Medicaid LBA provider.
 
ATTENTION: PHONE LINES OPEN – OFFICES CLOSED TO MEMBERS
Following CDC guidelines for COVID-19, for a limited time we do not have in-person customer service. Our Customer Advocates will be happy to help you by phone by calling 1-800-431-7798 (STAR) or 1‑877‑639‑2447 (CHIP), Monday to Friday, 7 a.m. to 7 p.m.
 
You also have 24/7 access to the Member Portal. The portal gives online access to:
  • Find a doctor or pharmacy
  • Choose or update your PCP
  • Print a temporary ID card
  • Ask for new ID card
  • Update your personal information
  • Review your Member Handbook
Visit my.FirstCare.com to set it up today.

STAR Medicaid & CHIP

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We put you first.

At FirstCare, our health plans were built in Texas and we’re a part of your community. We are focused on your needs because we’re your friends and neighbors and we’re going to work with you to help you stay healthy. For us, caring comes first.

We’re happy to provide you with the details of your health plan. Click the links below to proceed to either the STAR Medicaid or CHIP sections for further details.

Texas Star HHS logo

STAR Medicaid

STAR is a Medicaid program for low-income families, children, and pregnant women. STAR members receive Medicaid health care benefits, including Texas Health Steps (THSteps) medical and dental checkups. To learn more about FirstCare STAR, click on the link below.

Go to STAR home page

CHIP HHS logo

CHIP

The Children’s Health Insurance Program (CHIP) is a health plan for children 18 years and younger. CHIP is for families whose income is too high for Medicaid but they can't afford other insurance. CHIP covers health services like checkups, lab tests, x-rays, hospital stays, medicines, dental care, and more. To learn more about CHIP, click on the link below.

Go to CHIP home page

Member Portal

Log In/Register

Authorization Information

Click here to access authorization information.

Find a Provider

Click below to access the STAR/CHIP provider directories:

Access a Doctor, 24/7/365

FirstCare Virtual Care—powered by MDLIVE lets you connect with a doctor from wherever you are. Find out more here.

Need Help?
Contact Us!

We can help you find a doctor, schedule a checkup, or answer any questions you have about your benefits.
 
Call FirstCare Customer Service at 1-800-431-7798 (STAR) or 1-877-639-2447 (CHIP). We're open Monday through Friday, from 8 a.m. to 5 p.m., excluding state approved holidays. If you call after hours, please leave us a message. We return all calls the next business day.
 
Our Customer Service Representatives speak both English and Spanish. If you speak another language, we can connect you with an interpreter.

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.

Resources

Talk to a Nurse—Nurse24™

Need care advice? Should you see a doctor? FirstCare members can talk to a nurse by calling 1-855-828-1013. Get answers 24/7! Information is available in English and Spanish. Interpreter services available upon request. TTY users can call 711 or 1-800-955-8771. Voice communication is available at 1-800-955-8770.

Healthy Texas Women Plus

Beginning Sept. 1, 2020, Texas HHSC is implementing Healthy Texas Women Plus (HTW Plus), an enhanced, cost-effective and limited postpartum services package for women in the HTW program. HTW Plus will be provided in the postpartum period for not more than 12 months after the start date. Women in HTW Plus will have access to both HTW and HTW Plus benefits.For more details:
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. For more details:
Utilization Management Decisions

State Fair Hearing

If you, as a member of the health plan, disagree with the health plan's decision, you have the right to ask for a fair hearing only after exhausting the MCO Internal Appeal System provided by FirstCare. Members may ask for a State Fair Hearing by contacting us toll-free at 1-800-431-7798 / TTY 711. FirstCare's Member Services can help you file a fair hearing.

External Medical Review

If you, disagree with the health plan's decision, you have the right to ask for a State Fair Hearing (standard or expedited) only after exhausting the FirstCare's 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 at 1-800-431-7798 / TTY 711.

Grow Well™ App

Your one place to find trusted health information and connect to FirstCare resources for you and your family through every age and stage. Text “App” to 844.903.GROW (4769) or:
bfc.onelink.me

Non-Emergency Medical Transportation (NEMT)

1-833-779-3105
For more details, visit:
access2care.net/texas View more information

Prescription Benefits Manager

1-855-897-4448
Navitus Health Solutions

Behavioral Health

1-800-327-6934
For more details, visit Scott & White Health Plan


The National Committee for Quality Assurance (NCQA) awarded FirstCare Health Plans an Accredited Status (Commercial, Medicaid, Marketplace HMO, recertified 11/2022) - reflecting our continuous work to fulfill NCQA requirements for consumer protection & quality improvement.

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