STAR & CHIP Providers

     

Provider Portal

FirstCare providers have access to our online self-service portal. Here, you can look up claims, request an authorization, appeal a claim, and much more. Log in/register to the Provider Portal. 

YourTexasBenefitsCard Portal Integration Pilot

Texas Medicaid is conducting a provider pilot to integrate the YourTexasBenefitsCard.com (YTBC) provider portal with the FirstCare Health Plans provider portal. Other managed care organizations and dental maintenance organizations are participating in this pilot as well.

Providers will be able to access the YTBC portal to view Medicaid patients’ available health information with one single click from the FirstCare provider portal.

To get more information regarding this pilot, visit www.YourTexasBenefitsCard.com and click on the HHS Pilot Packet link.
 
NOTE:  In preparation for the pilot, we invite you to take a brief survey. Your responses will be confidential and will help us improve the quality of the information we provide. Click here to take the survey.

Becoming a Provider

Interested in joining our network? Please visit the Becoming a Provider page for general information. The following pertains specifically to our STAR & CHIP providers:


Credentialing Forms

Click on the links below to view/download FirstCare's Provider Credentialing forms:

Expedited Credentialing

The expedited credentialing process allows providers to participate in the FirstCare network on a provisional basis. This provisional status is available if:
  • Provider is a first time applicant to FirstCare and provisional credentialing request is based on a critical need of the members.
  • Provider is joining as a partner, shareholder or employee of a currently contracted and  credentialed FirstCare provider in good standing.
  • Provider has submitted the appropriate paperwork, including a complete Texas Standard Credentialing Application with current attestation.
  • The applicable Regional Medical Director has reviewed the request and determined the application cannot be completed in 30 days or less.
  • The required verifications must indicate the file is clean. This includes a state license in good standing with the appropriate medical board, as well as a clean NPDB query.
All provisionally approved providers must agree to comply with the terms of the FirstCare contract currently in force with the applicant physician’s established medical group. The full credentialing process must be completed within 60 calendar days of the date a physician is granted provisional status.

Provider Availability of Services
FirstCare monitors compliance for availability of services standards. In order to ensure the best quality of care for our members, we ask participating providers to operate within the standards described in the Minimum Requirements for Provider Availability of Services.

STAR & CHIP Provider Training
Cultural Competency
An effective health communication is as important to health care as clinical skill. To improve individual health and build healthy communities, health care providers need to recognize and address the unique culture, language and health literacy of diverse consumers and communities.

Additional cultural competency resources can be found on the U.S. Department of Health and Human Services Office of Minority Health website. 

Complaints & Appeals

Filing complaints & appeals to FirstCare STAR
  • Call: 1-800-431-7798,
  • Fax: 1-877-878-8422, 
  • Email: csinfo@firstcare.com, or
  • Mail to: FirstCare STAR
    Attn: Customer Service Department
    1901 West Loop 289 Ste. 9
    Lubbock, TX 79407  
 Filing complaints & appeals to FirstCare CHIP
  • Call: 1-877-639-2447,
  • Fax: 1-877-878-8422, 
  • Email: csinfo@firstcare.com, or
  • Mail to: FirstCare CHIP
    Attn: Customer Service Department
    1901 West Loop 289 Ste. 9
    Lubbock, TX 79407  
Filing complaints to HHSC
  • Email: HPM_Complaints@hhsc.state.tx.us, or
  • Mail to: Texas Health and Human Services Commission
    Health Plan Operations – Resolution Services H-320
    P.O. Box 85200
    Austin, TX 78708
Filing complaints to TDI
  • Call: 1-800-252-3439, OR
  • Mail to: Texas Department of Insurance
    P.O. Box 149104
    Austin, TX 78714-9104

Customer Service

For member eligibility and benefit questions, please contact FirstCare Customer Service: 
  • STAR: 1-800-431-7798
  • CHIP & CHIP Perinatal:
    1-877-639-2447

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, Monday to Friday, 8 a.m. to 5 p.m.:
  • Abilene area: 1-325-670-3525
  • Amarillo area: 1-800-239-5650
  • Lubbock area: 1-806-784-4380
  • All other areas: 1-800-431-7737

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