Network Participation

If you are located in Bastrop, Burnet, Caldwell, Fayette, Hays, Lee, Travis, or Williamson counties, Blue Cross and Blue Shield of Texas (BCBSTX) would like to extend the opportunity for participation as a provider in the BCBSTX Medicaid State of Texas Access Reform (STAR) and BCBSTX Children's Health Insurance Program (CHIP).

STAR is the Medicaid Managed Care Program for Texas. BCBSTX has been selected to provide comprehensive managed care services to the STAR program for the Texas Health and Human Services Commission (HHSC) in the Travis Service Area. Counties in the service area include Bastrop, Burnet, Caldwell, Fayette, Hays, Lee, Travis, and Williamson.

CHIP is designed for families who earn too much money to qualify for Medicaid, yet cannot afford to buy private insurance for their children (up to age 19). BCBSTX has been selected to provide comprehensive managed care services to the CHIP program for the Texas HHSC in the Travis Service Area.

The HHSC has contracted with BCBSTX to provide comprehensive managed care services for the STAR and CHIP programs that will include, among other things, network development, provider contracting and education, and coordination with provider and treatment facilities. Your network participation will ensure the success of these two very important programs.

Medical/Surgical Physicians and Professional Providers

In order to participate in Medicaid (STAR) and CHIP, physicians and professional providers must have:

  • Privileges at a STAR and CHIP participating hospital (unless inpatient admissions are uncommon or not required for the physician's and professional provider's specialty)
  • A valid National Provider Identifier (NPI) number
  • A valid Medicaid Texas Provider Identifier (TPI) number (applies to STAR only)
  • Attestation (registration and reporting of NPI number) with the State of Texas

As a participating BCBSTX STAR and CHIP professional provider, you will be reimbursed 100% of the State of Texas Medicaid fee schedule, current for that date-of-service. Access State of Texas Medicaid Fee Schedule Learn more about third-party links

If you have questions, please contact your local Network Management office in Austin at 855-212-1615.

If you are one of the following physicians or other professional providers interested in participating in the Medicaid STAR and CHIP program, please refer to the contact list below:

  • Behavioral Health Professionals and Physicians – contact Magellan Health Services at 800-788-4005 or Magellan Health Services Learn more about third-party links.
  • Pharmacy Providers – Prime Therapeutics
    STAR 855-457-0405
    CHIP 855-457-0403
  • Vision Providers – contact Davis Vision Learn more about third-party links