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.
Medicaid members, don't lose your health coverage.

Follow these steps to keep your coverage:

  • Review and Update your contact information at YourTexasBenefits.com or call 2-1-1 and select option 2.
  • If you are no longer eligible for Medicaid, Individual and Family Marketplace options are available through Baylor Scott & White Health Plan. Due to the American Rescue Act Plan for 2021, Marketplace coverage can be as low as $0 premium.

Learn more on our site or call 1-866-522-2516 to speak to a licensed sales agent.

Did you know you can change your primary care doctor on our member portal?
Click here for more information.
Request to be Contacted by a FirstCare Outreach Team Member

Click here for more information.

STAR Medicaid & CHIP

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.


STAR Medicaid

Texas Star HHS logo

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.

Learn More About STAR


CHIP

CHIP HHS logo

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.

Learn More About CHIP


Provider Relations

If you have provider-related inquiries, please contact our Provider Relations department:

You may also call the Provider Relations representative in your region, 8 a.m. to 5 p.m. weekdays:

  • Abilene area: 1-254-298-3064
  • Amarillo area: 1-800-239-5650
  • Lubbock area: 1-806-784-4380
  • All other areas: 1-800-431-7737

Specialty Providers Referrals

Referrals are needed to see most FirstCare specialty provider. A referral is an approval from your PCP for you to get specialty care and follow up treatment. If you receive services from a specialist without your PCP's referral, or if the specialist is not a FirstCare provider, you might be responsible for the bill. You can get some services without going to your PCP first. These include:

  • 24-hour Emergency Care (if you feel you have a true medical emergency)
  • Routine Vision Care
  • Dental Services (for children)
  • OB/GYN Care
  • Family Planning Services and Supplies
  • Behavioral (Mental) Health and Substance Abuse Services
  • Texas Health Steps

For more information, call 800-431-STAR (7798) or 877-639-CHIP (2447).


Important Phone Numbers

Member Portal

Log In/Register

Authorization Information

Find a Provider

Provider directories:

STAR (Lubbock)
STAR (MRSA)
CHIP

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-STAR (7798) or 1-877-639-CHIP (2447) 8 a.m.-5 p.m. weekdays, 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 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

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

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 at 1-800-431-7798 / TTY 711. 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 at 1-800-431-7798 / TTY 711.

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

Scott & White Health Plan


The National Committee for Quality Assurance (NCQA) awarded FirstCare Health Plans an Accredited Status - reflecting our continuous work to fulfill NCQA requirements for consumer protection & quality improvement.

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