Texas Children's Health Plan — Texas
Managed MedicaidNot VerifiedTexas
Official provider page registered; prior-authorization program verified — filing windows and remaining blocks pending verification.
⚠ Texas-specific contact information: Heads up
- Standard timely filing
- Not yet published
- Appeal filing window
- Not yet published
- Prior authorization
- Not yet published
- Appeal channel
- Not yet published
- Provider portal
- Not yet published
- Verification
- Not Verifiedby AR Guide team
Notes
Official provider page registered; prior-authorization program verified — filing windows and remaining blocks pending verification.
Timely filing
Not yet published for this entry. Claim filing and appeal windows are published only when verified against an official source — never estimated.
- Official website
- https://www.texaschildrenshealthplan.org/ (opens in a new tab)Verified · August 2026Verified Aug 22, 2026 · Official web pageView source (opens in a new tab)
Official website verified on 2026-08-22 (live fetch of https://www.texaschildrenshealthplan.org/).
- Member Services
- 866-219-5411Verified · August 2026Verified Aug 22, 2026 · Official web pageView source (opens in a new tab)
Texas Children's Health Plan member advocate line published on the official website (Nurse Help Line 1-800-686-3831 or TTY 1-800-735-2989; member services 8 a.m.–5 p.m. Mon–Fri).
Every contact is individually source-tracked and shows the date it was last verified. A green “Verified” badge only appears when a source and verification date exist.
Portal
Not yet published for this entry. Portal capabilities and registration requirements are shown only when the official portal source states them.
Referrals
Not yet published for this entry. Referral requirements and retro-referral rules are published only when verified against a source.
Appeals
Not yet published for this entry. Appeal levels, filing channels and external-review options are published only when verified against a source.
Documentation requirements
Not yet published for this entry. Required documentation for appeals and additional-information requests is published only when verified against a source.
- Common CARCs
- 197
- Top reasons
- Precertification / prior authorization / notification absent (CARC 197) — prior-authorization information and clinical PA guidelines are published for STAR/STAR Kids providers
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Report outdated information
Recent updates
Change log
- Verified official website · Aug 22, 2026Texas Children's Health Plan — Official website
- Verified member services contact · Aug 22, 2026Texas Children's Health Plan — Official website
- Verified denial patterns · Aug 19, 2026Texas Children's Health Plan — Prior Authorization Information
- Entry last reviewed · Aug 19, 2026Texas Children's Health Plan — ProvidersTexas Children's Health Plan — Prior Authorization Information
Contact information is provided for reference and is verified against the cited source as of the date shown. Payer contact information may change. Always confirm the appropriate contact for the member's plan and claim.
Source & verification
Directory record
- Geographic scope
- Texas
- Line of business
- Managed Medicaid
- Last reviewed
- Aug 19, 2026
- Verified by
- AR Guide team
- Texas Children's Health Plan — Providers — https://www.texaschildrenshealthplan.org/providers
- Texas Children's Health Plan — Prior Authorization Information — https://www.texaschildrenshealthplan.org/providers/
- Texas Children's Health Plan — Official website — https://www.texaschildrenshealthplan.org/