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Provider Customer Service Numbers Printable format for BCBSTX Medicaid Contact List for Provider
Eligibility, Benefits, Provider Network Referral, Claim Status	STAR, CHIP: 1-877-560-8055 STAR Kids: 1-877-784-6802 8:00 a.m. to 5:00 p.m. CST, M–F www.availity.com Registration Required *Interactive voice response (IVR) system — the IVR accepts either your National Provider Identifier (NPI) or your Federal Tax Identification (TIN) for provider identification.
Appeals and Complaints	STAR, CHIP: 1-877-560-8055 STAR Kids: 1-877-784-6802 8:00 a.m. to 5:00 p.m. CST, M–F Email: GPDTXMedicaidAG@bcbsnm.com Fax: 1-855-235-1055 State Email: HPM_Complaints@hhsc.state.tx.us Blue Cross and Blue Shield of Texas Complaints and Appeals P.O. Box 660717 Dallas, TX 75226-0717
Utilization Management	Prior Authorization STAR/CHIP Phone: 1-877-560-8055 Fax: 1-855-653-8129 STAR Kids Phone: 1-877-784-6802 Fax: 1-866-644-5456 Concurrent Review STAR/CHIP Phone: 1-877-560-8055 Fax: 1-855-653-8129 STAR Kids Phone: 1-877-784-6802 Fax: 1-866-644-5456 Case Management STAR/CHIP Phone: 1-877-560-8055 Fax: 1-855-653-8129 STAR Kids Phone: 1-877-784-6802 Fax: 1-866-644-5456
Service Coordination	Service Coordination Referrals STAR/CHIP Phone: 1-877-214-5630 TX_Medicaid_HC@bcbstx.com Service Coordination Referrals STAR Kids Phone: 1-877-301-4394 Fax: 1-866-644-5456 TX_Medicaid_HC@bcbstx.com
24 Hour Nurse Hotline	STAR/CHIP: 1-844-971-8906 STAR Kids: 1-855-802-4614 24 Hour Nurse Hotline
Behavioral Health Services	Blue Cross and Blue Shield TX Provider Hotline: 1-800-327-7390
Vision	1-800-77-DAVIS (1-800-773-2847) Davis Vision
Pharmacy	Prime Therapeutics Pharmacy Help Desk 24 hours/7 days a week STAR (Pharmacy HD): 1-855-457-0405 STAR Kids (Pharmacy HD) – Travis Service Area: 1-855-457-0757 STAR Kids (Pharmacy HD) – MRSA Central Area: 1-855-457-0758 Pharmacy PA Voice 24 hours/7 days a week STAR and CHIP (PA): 1-855-457-0407 Pharmacy PA Fax: 1-855-457-6930
Interpreter Services	Texas Relay: 1-800-735-2988 TTY: 711
Language Interpreters	STAR/CHIP: 1-800-657-6061 STAR Kids: 1-877-688-1811
Texas Medicaid Provider Network Office
Austin	Texas Medicaid Provider Network Management Blue Cross and Blue Shield of Texas Arboretum Plaza II 9442 Capital of Texas Hwy N, Suite 500 Austin, TX 78759 Phone: 1-855-212-1615 Fax: 1-512-349-4860

This team is dedicated to handling inquiries specifically related to Texas Medicaid. Any inquiries about other BCBSTX lines of business will not be processed.

Provider Relations Team Directory
Amy Mizell Texas Medicaid Manager, Provider Relations	Amy_D_Mizell@bcbstx.com
Alexander Clemens Texas Medicaid Senior Provider Network Representative	Alexander_Clemens@bcbstx.com
Brian Rickman Texas Medicaid Senior Provider Network Representative	Brian_E_Rickman@bcbstx.com
Ebony Maxell Texas Medicaid Senior Provider Network Representative	Ebony_Maxwell@bcbstx.com
Tammy Rascon Texas Medicaid Senior Provider Network Representative	Tammy_Rascon@bcbstx.com