Cook Children's Health Care Plan
Cook Children's Health Care Plan
Cook Children's Health Care Plan
Children's Health Insurance Program member handbook


Download entire handbook or click on the topics below to go directly to that section of the handbook. The downloaded document requires Acrobat Reader to view.



About Cook Children's Health Plan (CCHP)

Toll-free member services phone number

Behavioral Health and Substance Abuse Services phone number

Quick reference guide to phone numbers
CCHP member identification (ID) card

Primary care providers (PCP)

After hours care

Continuing treatment if provider terminated

Referral to special doctors

Second opinions

Self-referrals

Help for children with special health care needs

Case management

Disease management

Mental health and substance abuse

Your right to choose an OB/GYN
Pregnant members and infants

Member services

Interpreter services

Eligibility and enrollment

Release of information

CCHP member newsletter

Important things to know before your child receives care
Hospital admission

Routine care

Urgent care

Emergency care

Emergency care outside of the service area


Additional services

Prescription drugs

Vision services

Dental services
Helping your child stay healthy
Well child exams

Health education

Women, infants & children program (W.I.C.)
Claims

Third party recovery

What are my rights and responsibilities?

Member rights

Member responsibilities

What to do when you have a complaint

What can I do if CCHP denies or limits my doctor's request for a covered service?
How to appeal a CHIP adverse determination

Expedited appeal

Independent review organization (IRO)

Filing complaints with TDI
Reporting waste, fraud or abuse

Advance directives

Cost sharing
CHIP cost-sharing caps
Summary of CCHP benefits for CHIP members

CHIP scope of benefits (what is covered)

Exclusions



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