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Welcome Providers

Contracted providers are an essential part of delivering quality care to our members. We value our partnership and appreciate the family-like relationship that you pass on to our members.

In an ongoing effort to improve our web-based services we have created a new Provider Portal. Included in this new secure site you will find:

Log on to Cook Children's Health Plan Online Eligibility

PROVIDER RE-ENROLLMENT IS EXTENDED from March 24, 2016 to September 25, 2016

The Centers for Medicare and Medicaid Services (CMS) recently announced that the previous March 24, 2016 deadline for Medicaid provider re-enrollment is extended to Sept. 25, 2016. Though this extension gives states additional time to ensure providers comply with Patient Protection and Affordable Care Act (PPACA) requirements, Texas Medicaid encourages all providers who have not yet submitted a re-enrollment application to begin this process immediately to avoid potential payment disruptions. Find more information about the federal re-enrollment requirement on the TMHP provider re-enrollment Web page.

Does your patient need a dentist? Then we have exciting news!
Cook Children's has a new clinic located at 2600 East Berry Street, Fort Worth, TX. This new clinic provides dental services for children 6 months to 18 years old. Accepting CHIP & Medicaid (STAR).

The dental staff can provide exams, digital x-rays, cleanings, fluoride treatments, fillings, crowns, root canals, and provide patient education. Please refer your patient to our dental clinic today or have them call and schedule an appointment at: (817) 347-4600.

To become a participating provider

To learn more about becoming a participating provider for Cook Children's Health Plan, please submit a completed Letter of Interest Questionnaire, your curriculum vitae, a list of your hospital privileges and specialties to Cook Children's Health Plan. Submissions may be made by fax at 682-885-8403 or by mail to:

Cook Children's Health Plan
Attention: Network Development
P.O. Box 2488
Fort Worth, TX 76113-2488

Cook Children's Health Plan will respond to your request within 90 days.

Letter of Interest Questionnaire

This form may supplement, or replace, a letter of interest for our provider network. Please open this document and answer the following questions. This information will help us in assessing your qualifications with the service needs of our network.

Additional Payer Available for Electronic Remittance Advice (835)

Availity is pleased to announce that Cook Children's Health Plan now delivers electronic remittance advice (ERA) files via the Availity Health Information Network.

To enroll for ERA delivery on the Availity Web Portal, click Enrollments | ERA Enrollment in the Availity menu, or click ERA Enrollment in the Additional Enrollments section on the Administrator Dashboard. For information about using the ERA enrollment service, review the Enrolling Online for Electronic Remittance Advice topic. You may also call Availity Client Services at (800) 282-4548.

You can also find information about enrolling for ERA delivery with participating payers in the Availity Health Plan Partners list.

To view your ERA files, click EDI File Management | Send and Receive EDI Files in the Availity menu.

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