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:
Cook Children's Health Plan (CCHP) has been awarded a new program, titled "STAR KIDS" by the Health and Human Services Commission (HHSC). CCHP will be administering this program in the Tarrant service area.
To participate in the STAR Kids program please complete the Letter of Intent (LOI) and Provider Data Information (PDI) forms located in the Forms section of this website. Your signature on this LOI will allow us to include you as a participating provider within our network. The form can be faxed to Network Development at 682-885-8403 or emailed to email@example.com.
If you have any questions please call 682-885-2247, a Network Development representative is available to assist you Monday-Friday from 8:00a.m. to 5:00p.m.. Thank you for considering participation with CCHP in the STAR Kids program.
Texas Medicaid & Healthcare Partnership Re-enrollment
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 disruption in payment, a complete re-enrollment application must be received on or before June 17, 2016 in order to be revalidated by Sept. 24, 2016. Complete applications that are received on or before June 17, 2016, will most likely complete the re-enrollment process by Sept. 24, 2016.
For additional guidance on re-enrollment, please visit TMHP Provider Re-Enrollment web page.
For assistance with the re-enrollment process contact a TMHP provider enrollment representative at 1-800-925-9126, Option 2 or email firstname.lastname@example.org.
To become a participating provider
If you are interested in becoming a participating provider for Cook Children's Health Plan, please submit a completed Letter of Interest Questionnaire to Network Development by fax at 682-885-8403 or by email email@example.com. This information will help us in assessing your qualifications with the service needs of our network. Cook Children's Health Plan will respond to your request within 90 days.
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.