Medicaid & CHIP

IMPORTANT INFORMATION: CHRISTUS Health Plan will be exiting Medicaid and CHIP in the Nueces service area effective February 1, 2018. It has been an honor to provide health insurance coverage for our Medicaid and CHIP members.

CHRISTUS Health Plan members enrolled in these programs received detailed information about this transition in the mail. If you have additional questions about the transition or your coverage, please feel free to contact CHRISTUS Member services at 1-800-359-5613 for Medicaid members and 1-877-428-3057 for CHIP members.

Medicaid & CHIP Plans

Medicaid and Children’s Health Insurance Program (CHIP) plans provide health coverage for millions of low-income Americans, giving them access to quality health care. These plans cover low-income families, children, pregnant women, elderly adults and some individuals with disabilities.

CHRISTUS Health Plan offers Medicaid State of Texas Access Reform (STAR) and CHIP coverage to families and children in Texas that qualify. Coverage is based on your household income. Read more about Medicaid or get an overview of CHIP to learn about benefits and coverage. You can also see our Member Handbook and other coverage resources in the Forms & Documents section.

If you think you might be eligible for coverage, you can review the Member Rights and Responsibilities and apply now to find out. Members pick a Primary Care Provider (PCP) from our large list of providers. You can pick a different Primary Care Provider for each covered member in your family. Your PCP will provide routine and preventative care. If needed, your PCP will refer you to a specialist or coordinate pre-certification for care. The following services do not require a referral and can be used directly:

  • Emergency Care
  • Behavioral Health Services (Mental Health, Drug and Alcohol Abuse)
  • Texas Health Steps (Medical and Dental Check-Ups from Birth Through Age 20)
  • Obstetrician/Gynecologist (Ob/Gyn) Care
  • Routine Eye Care

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Texas Health Steps

Texas Health Steps is a healthcare program for Medicaid members from birth through age 20.

Please call us at 1-800-359-5613 or visit Texas Health Steps for more information.

Premiums & Cost Sharing

A list of premiums and cost sharing including any conditions and limitations (CHIP only) can be found in our CHIP overview.

Member ID Cards

If you are already a member of the Member State of Texas Access Reform (STAR) or Medicaid and Children's Health Insurance Program (CHIP), you can get a new ID Card by calling member services at:

To access the Member Portal, visit our Members section to login and view your account.

Member Services

Materials may be made available in other formats such as Braille, large print or audio. Please contact us for more information. Phone numbers and hours of operation for both CHIP and Medicaid/STAR programs can be found below.

Responsive Table
Member & Provider Services Hotlines
Program Phone Number Hours of Operation
CHIP (Main) 1-800-359-5613 Monday-Friday 8:00 AM- 5:00 PM
Medicaid / STAR (Main) 1-877-428-3057 Monday-Friday 8:00 AM- 5:00 PM

Hours of Operation

8:00 AM – 5 PM Central Time
If you are reaching out during after hours or on a weekend, leave a message on the voice mail box for a returned call on the next business day.

Emergency or Crisis

Members can access Members Services during business hours. If you have an emergency or crisis and need treatment right away go to the nearest emergency room or call 911. You or someone on your behalf will need to call CHRISTUS and tell us you had an emergency.

Hours of Operation

If you are reaching out during after hours or on a weekend, leave a message on the voice mail box for a returned call on the next business day.

Availability of Languages

CHRISTUS provides staff that is available who speak both English and Spanish.

Interpreter Services

Language line: 1-866-874-3972

TTY Line for Hearing Impaired

1-800-735-2989-TX or 1-800-659-8331

Provider Services

Provider Services Hotline Numbers

CHIP: 1-800-359-5613
Medicaid / STAR: 1-877-428-3057

Hours of Operation

8:00 PM – 5 PM CST

Information Available

Providers have the opportunity to speak with a Provider Relations representative to obtain claim or payment status, update provider information and any other provider questions.

Medical Management Behavioral Health Service

BHUM Hotline

Phone Number: 1-800-323-0208

Hours of Operation

Behavioral Health Service is available 24 hours a day, 7 days a week.

Emergency or Crisis

If a member is in crisis they can call the crisis line at 1-800-323-0286; 24 hours a day, 7 days a week.The member can also call 911 if the emergency is life threatening or if they are in danger.

Availability of Languages

Both the BHUM and crisis line have bilingual interpreters on staff to assist in translations to members.

Interpreter Services

Interpreter services are available 24 hours a day, 7 days a week.

Substance Abuse Services

Members are able to self-refer by calling 1-800-323-0208. The same number (1-800-323-0208) can be used for members needing assistance with substance abuse services.

Availability of Service Coordination

Members can call 1-800-446-1730 (Medical Management) and a member of the Medical Management team will speak to the member regarding their specific needs. If the service coordination is specific to behavioral health and substance abuse, the Medical Management team member will do a warm transfer to Health Integrated.

Medical Management

24-Hour Nurse Hotline

Members can call 844-581-3173 for the Nurse Line.

Hours of Operation

The Nurse Line is available 24 hours a day, 7 days a week. The nurse can help members with questions or help members decide what to do about their health needs.

Information Available

The purpose of the 24-hour Nurse Line is to inform members of value-added benefits. When you join CHRISTUS Health Plan, you get value-added services and extra benefits that Medicaid does not provide.

24/7 Nurse Line (844-581-3173) – You can talk to a nurse 24 hours a day, 7 days a week. The nurse can help you with questions or help you decide what to do about your health needs. Call your doctor first with any questions or concerns about your health care needs.

PROMISE Program – This program offers a package of diapers ($50 value) at no cost when a pregnant member completes 10 prenatal and one postpartum visit to the doctor.

Sports Physical Exam – Members 19 years and younger can get one sports physical exam per year. This is a different exam from the Texas Health Steps checkup.

Smoking Cessation Program – This is a program for members age 12 years or older who would like help to quit smoking. It includes an assessment and counseling. Members 18 years of age and older can receive nicotine replacement products with a prescription from your primary care provider.

Contact Lenses Program – This benefit is for members between the ages of 12 and 18 years. It includes a fitting exam, with additional benefits to be applied toward the purchase of contact lenses to correct vision.

Home Visits – This program offers home visits to high-risk pregnant members who are actively enrolled in care management.

Home Environmental Assessments – This program offers home assessments to members who are actively enrolled in care or disease management programs and have asthma or other chronic diseases.

Free Member Newsletter – You will get a newsletter in the mail with information on topics to help you and your family stay healthy.

Availability of Languages

The Nurse Line has bilingual nurses to assist members in English and Spanish.

Interpreter Services

The Nurse Line has available interpreters for members.

TTY Line for Hearing Impaired

The TTY Nurse Line number for members that are hearing impaired is 1-800-735-2989.

STAR Program Help Line (Enrollment Broker)

STAR Program Help Line

Phone Number: 1-800-964-2777

Hours of Operation

Monday - Friday: 8:00 AM - 6:00 PM Central Time

Information Available

Texas Medicaid has a contractor (Maximus) whose job it is to help consumers pick among their options. They can also help when a consumer wants to change health plans. For help selecting or changing a Medicaid health plan, call the STAR Program Help Line. They can also help with complete the enrollment form, if needed.

TTY Line for Hearing Impaired

Phone Number: 1-800-735-2989

Medicaid & CHIP Complaints and Appeals

If you want to file a complaint or an appeal, a CHRISTUS Health Plan Member Advocate can help you.

Call us at toll free 1-844-282-0380, toll free TTY 1-800-735-2989.

For more information on the complaint and appeal process, see the specific processes and guidelines for Medicaid/STAR and CHIP programs.

Fair Hearing Process

Contact Information

Toll-free number to request an appeal: 1-844-282-0380.

Information Available

If you disagree with a CHRISTUS Health Plan decision, you have the right to ask for a Medicaid fair hearing from the Health and Human Services Commission (HHSC). A CHRISTUS Representative can help you file a fair hearing. Please call within ninety (90) days after the order or action you disagree with occurs. For more information on the complaint and appeal process, see the specific processes and guidelines for the Medicaid/STAR and CHIP programs.

Services Provided

Pharmacy services for STAR and CHIP

CVS - Prescription Benefits Manager (PBM)

Customer Care Correspondence
PO Box 6590
Lee's Summit, MO 64064-6590

Vision Services for STAR and CHIP

Superior Vision
1-800-879-6901 or

939 Elkridge Landing Road
Suite 200
Linthicum, MD 21090

Mental health and substance abuse services for inpatient and outpatient

Behavioral Health – Health Integrated

Main Line 1-800-323-0208
24/7 Crisis Line 1-800-323-0286

Dental Services for STAR and CHIP

Dental – DentaQuest
Medicaid Members 800-516-0165
CHIP Members 800-508-6775

465 Medford Suite #150
Charlestown, MA 02129

Member Advisory Group Overview

CHRISTUS Health Plan offers a Member Advisory Group where members can discuss topics with us such as provider selection, range of services and CHRISTUS Health Plan sponsored events. All members are invited to join the Member Advisory Group and receive invitations for each meeting.

HHSC Member Notices

Texas covers certain mosquito repellant products for the prevention of Zika virus as a benefit in Medicaid and other state programs. For more information on the prevention of Zika virus, see the specific processes and guidelines:

CHRISTUS Health Plan Notices

Effective immediately, CHRISTUS Health Plan does NOT require authorization for in-network behavioral health services. If you have any questions, please call Member Services at:

CHIP: 800-359-5613

Medicaid STAR: 877-428-3057

Last updated: 2/23/17