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Care Management

Listed below are Therapy Guidelines documents for our providers.

To ensure better health outcomes for our members - Cook Children’s Health Plan (CCHP) is making improvements to the existing prior authorization process for therapy services. We value your participation in our network. Our objective is to clearly communicate our policies and criteria, to help ensure that therapists and therapy agencies are able to maintain their focus on providing quality treatment services to our members.

Effective 1/15/2016, requests for initial evaluations, re-evaluations and therapy treatment must originate directly from the PCP/medical home (attending specialist physician) by phone, fax or web. Requests originating from therapy providers will be returned as “incomplete”.

CCHP is committed to expediting authorization turn-around-times and reducing administrative denials due to missing or incomplete information. This new process eliminates an extra step in the authorization process and improves turn-around-times.

Requests for prior authorization of therapy services can be made by phone, fax or web by contacting Cook Children’s Health Plan at:

  • Phone: 682-885-2247 or 1-800-862-2247
  • Fax: 682-885-8402 or 1-844-643-8402

Prior Authorization

Listed below are Prior Authorization documents for our providers.

Long Term Supports & Services

Listed below are LTSS documents for our providers.

Provider Forms

Listed below are forms for our providers.

If you have any questions please call 1-800-964-2247 Monday through Friday from 8 a.m. to 5 p.m.