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Did you know you can change your primary care doctor on our member portal?
Click here for more information.
Attention STAR Members!
Check out our Value-Added Services (VAS) program details! For more information, click here.
Your Texas Benefits
Coverage for Medicaid recipients will continue during the public health emergency. Medicaid recipients who no longer meet the criteria for their current type of Medicaid coverage may be moved to another type of Medicaid coverage. Medicaid recipients will be notified if their coverage is changing and if they need to take any action. Click here to learn more.

FirstCare STAR Program

Welcome to FirstCare STAR

Our goal is to give you quality care and a great network of doctors, specialists and hospitals. STAR members receive Medicaid health care benefits, including Texas Health Steps (THSteps) medical and dental checkups.For more details, call THSteps toll-free at 1-877-847-8377 or visit the THSteps website.

If you are not a member and you have questions about Medicaid, visit yourtexasbenefits.com to learn more. For help with choosing a Medicaid plan, call the STAR helpline at 1-800-964-2777, Monday to Friday, 8 a.m. to 6 p.m. TTY users call 1-800-735-2989.

What is STAR?

STAR is a Medicaid program for low-income families, children and pregnant women. When you join STAR, you pick a primary care provider (PCP) to manage your health care and treatment. You can pick any PCP in FirstCare’s STAR network. Your PCP can be a family doctor, general practitioner, obstetrician/gynecologist, internist, pediatrician, or a clinic.

Star Income Guidelines

 Family Members   (Adults & Children)  Monthly Family Income
  1   $1,354
  2   $2,034
  3   $2,559
  4   $3,083
  5   $3,607
  6   $4,132
  7   $4,656
  8   $5,180
  For each additional person, add:   $525

How to Choose a Primary Care Provider

Your Primary Care Provider (PCP) must be a FirstCare STAR provider. To find a participating provider, you can do one of the following:

When you fill out your Enrollment Form, list the PCP you have chosen. There is a space on the form for the name and provider number. Your PCP will be the doctor in charge of your health care. Visiting the same doctor for checkups and when you are sick can help your doctor keep an eye on your health. You can go to a family planning, OB/GYN, behavioral health, and/or other health care provider. You do not need a referral by a PCP.

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

STAR Benefits

Below is a list of some of the health benefits you get with STAR:
  • Unlimited prescriptions
  • Doctor and clinic visits
  • X-rays and lab tests
  • Emergency and hospital care
  • Eye exams and glasses
  • Medical supplies and equipment
  • Care for mental health, drug, or alcohol problems
  • Family planning counseling and education
  • Pregnancy and childbirth care
  • Speech therapy
  • Occupational therapy

How do I access covered services?
What should I do if I have an emergency?

To access covered services, call FirstCare STAR Customer Service at 1-800-431-7798.If you are having an emergency and need immediate medical care, go to the nearest Emergency Room (ER) or call 9-1-1. If you do not have life threatening injuries or symptoms or do not need immediate medical care, call your PCP first. Your doctor can help you and give you advice.

Nonemergency Medical Transportation (NEMT)

  • We can help you or your child get a ride, at no cost, to the doctor, hospital, dentist, and drugstore.
  • Call us 48 hours before at 1-833-779-3105 (TTY 711) or download the Access2Care (A2C) app.

How do I replace my ID card if it is lost or stolen?

If you need to replace your ID cards, call FirstCare Customer Service toll-free at 1-800-431-7798 and we can assist you.

Member Portal

FirstCare members have access to our online Member Portal.Here, you can look up your claims, view your benefits and find important plandocuments.

Frequently Asked Questions about Medicaid Transition

Prior Authorization

Prior authorization is sometimes called pre-certification or pre-notification. Prior authorization verifies whether medical treatment that is not an emergency is medically necessary. It also determines if the treatment matches the diagnosis and that the requested services will be provided in an appropriate setting. During prior authorization, Baylor will also verify if the Member has benefits.

Filing a Complaint

If you receive benefits through Medicaid’s STAR, STAR+PLUS, STAR Health, or STAR Kids Program, call your medical or dental plan first. If you don’t get the help you need there, you should do one of the following:
  • Callthe Medicaid Managed Care Helpline at 1-866-566-8989 (toll free).
  • Online: hhs.texas.gov/about-hhs/your-rights/hhs-office-ombudsman
  • Mail:Texas Health and Human Services Commission
    Office of the Ombudsman, MC H-700
    P.O. Box 13247
    Austin, TX 78711-3247
  • Fax:1-888-780-8099 (toll-free)

Grow WellTM

Grow Well App

Mindoula

Behavioral Health Tool

Papa Pals

Extra Support for New Moms

Member Portal

Log In/Register

Authorization Information

Access authorization information

Find a Provider

Click below for the STAR provider directories:

STAR (Lubbock)
STAR (MRSA West)

Access a Doctor, 24/7/365

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

Learn more

Need Help?
Contact Us!

Call FirstCare STAR Customer Service at 1-800-431-7798.

We're open 8 a.m. to 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 both English and Spanish. If you speak another language, we can connect you with an interpreter. You can get information in larger print, audio (CD), braille or in any other language format, if needed. For help, call FirstCare STAR Customer Service at 1-800-431-7798.

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

STAR Medicaid Service Area STAR Member News

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 hours a day, 7 days a week! 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.

Utilization Management

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

Learn more

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 learn more here.

Helpful Links and Phone Numbers

Texas MedicaidInformation and Referral:
2-1-1 or 1-877-541-7905
Enrollment Helpline: 1-800-964-2777
TTY: 1-800-735-2989
Texas Health Steps (THSteps)Health care for children, birth through age 20, who have Medicaid
1-877-847-8377 (1-877-THSTEPS)
MCNA Dental (Medicaid)Medicaid & CHIP dental plan for Texas
1-855-691-6262
TTY: 1-800-955-8771
DentaQuest (Medicaid)Medicaid & CHIP dental plan for Texas
1-800-516-0165
TTY: 1-800-855-2880
United DentalMedicaid & CHIP dental plan for Texas
1-877-901-7321
TTY: 711
Liberty Dental (Medicaid)Dental services for Medicaid STAR pregnant women age 21 and over
1-877-550-4374
Navitus Health SolutionsFirstCare’s Pharmacy Benefit Manager
1-877-908-6023
TTY: 711
OCCC Financial Literacy Information1-800-538-1579


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

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