Provider Search
To access our Provider/facility lookup, please use the button below.
If you would like to learn more about your PCP or a specialist, such as the doctor's specialty, medical school, residency training or board certification, visit these websites:
- ABMS | American Board of Medical Specialties: www.abms.org
- American Medical Association: www.ama-assn.org
- The Texas Medical Board: www.tmb.state.tx.us
Please let us know if you would like a hard copy of the Provider Directory mailed to you. Call our Member Services department at 1-800-964-2247 to request one for free. A directory will be mailed to you within 5 business days. Call us if you need help with setting up an appointment or finding a Provider.
How to choose a provider?
We have many primary care physicians (PCPs) and specialists for you to choose from. To find a doctor, visit our provider search tool. You must pick a PCP for your child or yourself. If you do not pick one, we will pick one for you.
If you need further assistance in selecting a PCP, finding a provider, or scheduling an appointment with a provider, please call our Member Services department at 1-800-964-2247 for STAR/CHIP Members or 1-844-843-0004 for STAR Kids Members.
Need a referral?
Your primary care provider (PCP) or attending specialist may request that a specialist see you or perform special tests. If you think you may need to see a specialist doctor, we advise you to talk to your primary care provider, attending specialist or service coordinator.
Your primary care provider or attending specialist can help arrange for you to see a new specialist. This is called a "referral."
If you have a specialist who already takes care of you then a referral is not needed. If your specialist is contracted with Cook Children's Health Plan, then no authorization is needed for specialist visits. An authorization is needed for out-of-network specialists to help with claims payment. Your service coordinator can also help you with access to specialists.
There are certain services you can get without a referral from your primary care provider or Cook Children's Health Plan. These services include:
Specialists, in network, who currently provide care, such as:
- Emergency care
- OB/GYN care
- Behavioral health or drug and alcohol treatment
- Routine vision
- Family planning
For more information about these services call our Customer Care Department at 1-844-843-0004.
If you are a dual-eligible member, call your Medicare plan to choose a primary care provider near you. If you have any questions, please talk with your Service Coordinator, or you may call 1-844-843-0004 to speak to one of our Member Advocates.