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STAR and CHIP Network Participation in Bastrop, Burnet, Caldwell, Fayette, Hays, Lee, Travis, and Williamson Counties

September 13, 2011

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 Managed Care Program (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.

The Children’s Health Insurance Program (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 & Professional Providers

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

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

Additional credentialing will not be required for those providers already credentialed in the BlueChoice® or HMO Blue® Texas networks and whose recredentialing is current.   

As a participating BCBSTX STAR and CHIP provider, you will be reimbursed 100% of the State of Texas Medicaid Fee Schedule, current for that date-of-service.

View Answers to Frequently Asked Questions  regarding STAR and CHIP requirements for participation, credentialing, reimbursement, and where to find more information.

If you have questions, please contact your local Network Management office in Austin at 512-349-4876 or 800-336-5696 (press 1, enter extension 44876).

Behavioral Health Professionals & Physicians

Providers of behavioral health services, please contact Magellan Health Services at 800-788-4005 or www.magellanprovider.com .