Contact Us

Provider Customer Service Numbers

Printable format for BCBSTX Medicaid Contact List for Provider

Eligibility, Benefits, Provider Network Referral, Claim Status

STAR, CHIP1-877-560-8055
STAR Kids1-877-784-6802
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, CHIP1-877-560-8055
STAR Kids1-877-784-6802
8:00 a.m. to 5:00 p.m. CST, M–F

EmailGPDTXMedicaidAG@bcbsnm.com
Fax: 1-855-235-1055
State EmailHPM_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

eviCore
Phone: 1-855-252-1117
Fax: 1-855-774-1319

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 Management/
Service Coordination

Service Management 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

Magellan Health Services
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

 Provider Network Office

Austin

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

Provider Relations Team Directory

Amy Mizell                                          Manager, Provider Relations

Amy_D_Mizell@bcbstx.com
Alexander Clemens                        Senior Provider Network Representative

Alexander_Clemens@bcbstx.com

Brian Rickman                                    Senior Provider Network Representative

Brian_E_Rickman@bcbstx.com

Gregg Matthews                                Provider Network Representative Gregory_Matthews@bcbstx.com
Tammy Rascon                                Senior Provider Network Representative Tammy_Rascon@bcbstx.com