Value Added Services
Our VAS gift card forms can now be found within our MyCookChildren's Member Portal. You can access these forms by signing up or logging into the portal here.
Once signed up and logged in, the forms can be located under VAS Forms.
The following forms are available to download in PDF format.
- Provider Change Request Form Authorizations
- STAR/STAR Kids Provider Authorized Representative Form
- Request to Authorize Account Access
We're here to help
Please call Member Services if you have any questions about these forms at 1-800-964-2247. Hours of operation are Monday - Friday from 8am - 5pm.