These forms and documents are available as PDF files. Just click on a form or document to download it. To view these files, you may need to install a PDF reader program. One option is Adobe® Reader®; this can be downloaded free of charge at Adobe's site.
Handbooks and Directories
If you need a printed copy of our member handbook, provider directory or other materials that will help you better understand your benefits, please call Customer Service. Your request will be fulfilled at no cost within five business days.
STAR Kids Member Handbook
Provider Directory – Central Service Area
Provider Directory – Travis Service Area
Pharmacy Directory – Central Service Area
Pharmacy Directory – Travis Service Area
Forms
Appeal Request Form
Complaint Form
Electronic Visit Verification Form
Fair Hearing Request Form
Prenatal Incentive Options (Car Seat or Pack and Play) Form
Prescription Drug Claim Form
Mail Service Registration and Prescription Order Form
Primary Care Provider (PCP) Selection Form
Request to Access PHI Form
Value-Added Services and Program Brochures
Blue Access for MembersSM Brochure
Value-Added Services Brochure
Screening and Assessment Instrument (SAI)
Service Coordination Brochure
Farmworkers Brochure
Special Beginnings Brochure
Transportation Benefits Brochure
LifeTimes® Newsletter
Spring 2025
Winter 2025
Fall 2024
Summer 2024
Important Notices
Annual Notices
BCBSTX Quality Performance Results for 2024
HIPAA Notice of Privacy Practices
Your Rights for Appeal of an Adverse Determination
Find additional prescription drug forms.
Additional Resources
ARC of the Capital Area
Children with Special Health Care Needs Program
Coalition of Texans with Disabilities
Consumer Rights and Services
Department of Assistive and Rehabilitative Services (ECI Program for children age 3 and under)
Guide to Financial Literacy and Education Resources (from the Office of Consumer Credit Commissioner)
Healthy Texas Women
National Early Childhood Technical Assistance Center
Navigate Life Texas
STAR Kids Advisory Committee
Texas Health and Human Services Commission
Texas Parent to Parent
Texas Project First
Coronavirus (COVID-19) Information for Medicaid and CHIP Members