Frequently Asked Questions (FAQs)

Call Member Service to get a new ID card:

Medicaid STAR 1-800-248-7767 (Bexar), 1-800-306-8612 (Tarrant)
Medicaid STAR Kids 1-844-STRKIDS (1-844-787-5437)
CHIP or CHIP Perinate 1-866-818-0959 (Bexar), 1-800-245-5380 (Tarrant)
1-800-735-2989 (for the hearing impaired)

Your ID card will list the name and phone number of your PCP.  This will be on the front of your ID card.

Yes.  For help, please call Member Service.

Medicaid STAR 1-800-248-7767 (Bexar), 1-800-306-8612 (Tarrant)
Medicaid STAR Kids 1-844-STRKIDS (1-844-787-5437)
CHIP or CHIP Perinate 1-866-818-0959 (Bexar), 1-800-245-5380 (Tarrant)
1-800-735-2989 (for the hearing impaired)

We will check if the new PCP is accepting new patients.

Your primary care provider can send you/your child to another doctor if a special type of care your primary care provider cannot offer. Your primary care provider will tell you/your child if you need to see a specialist. You should not go to another doctor for services if your primary care provider does not agree to make a referral. If you see a specialist without a referral, you might have to pay for the services.

After getting a referral from your primary care provider, you should be able to see a specialist within 3 weeks for a routine appointment; within 24 hours for urgent care appointments.

Please note:
The STAR Kids plan of benefits does not require referrals for any services.

 

A full list of covered services is included in the Member Handbook.  These pages also list non-covered services.  You can also ask your provider.  You can call Member Services:

Medicaid STAR 1-800-248-7767 (Bexar), 1-800-306-8612 (Tarrant)
Medicaid STAR Kids 1-844-STRKIDS (1-844-787-5437)
CHIP or CHIP Perinate 1-866-818-0959 (Bexar), 1-800-245-5380 (Tarrant)
1-800-735-2989 (for the hearing impaired)

We use many contracted hospitals.  Check the provider directories on this website.  You can also call Member Services if you are hard of hearing, to get a current list of our contracted hospitals.

Medicaid STAR 1-800-248-7767 (Bexar), 1-800-306-8612 (Tarrant)
Medicaid STAR Kids 1-844-STRKIDS (1-844-787-5437)
CHIP or CHIP Perinate 1-866-818-0959 (Bexar), 1-800-245-5380 (Tarrant)
1-800-735-2989 (for the hearing impaired)

An emergency is when you have a serious medical problem. This means you are in danger of lasting harm or dying. If you have an emergency go to the nearest hospital or call 911.

Yes.  If you have an urgent care need, call your PCP. At night or on weekends or holidays, your PCP's answering service will take your call. Your PCP will call you back and tell you what to do.

Call Member Services and our staff will tell you how to get these services.

Medicaid STAR 1-800-248-7767 (Bexar), 1-800-306-8612 (Tarrant)
Medicaid STAR Kids 1-844-STRKIDS (1-844-787-5437)
CHIP or CHIP Perinate 1-866-818-0959 (Bexar), 1-800-245-5380 (Tarrant)
1-800-735-2989 (for the hearing impaired)