Medicaid (STAR), CHIP, and STAR Kids Online Agreement Request Form

Blue Cross and Blue Shield of Texas (BCBSTX) has been selected to provide comprehensive managed care services for the STAR and CHIP programs with the Travis Service Area (Bastrop, Burnet, Caldwell, Fayette, Hays, Lee, Travis, and Williamson counties) and MRSA Central Service Area (Bell, Blanco, Bosque, Brazos, Burleson, Colorado, Comanche, Coryell, De Witt, Erath, Falls, Freestone, Gillespie, Gonzales, Grimes, Hamilton, Hill, Jackson, Lampasas, Lavaca, Leon, Limestone, Llano, Madison, McLennan, Milam, Mills, Robertson, San Saba, Somervell, and Washington counties).

Please refer to the Network Participation page to request a Provider Record ID and agreements for Medicaid (STAR), CHIP, and STAR Kids.