Forms and Documents

These forms and documents are available as PDF files. Just click on a form or document to download it. You will need Adobe Reader to view these files; this can be downloaded free of charge at Adobe.

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 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
Drug List (Formulary)
Benefit Resource Guide

Forms

Appeal Request Form
Complaint Form
Electronic Visit Verification Form
Fair Hearing Request Form
Request to Access PHI Form
Text and Email Messages Permission Form

Value-Added Services and Program Brochures

Value-Added Services Brochure
Blue Access for MembersSM Brochure
Screening Assessment Instrument
Service Coordination Brochure
STAR Kids Resource Guide
Transportation Benefit Brochure

Important Notices

Annual Notices and CAHPS Survey Results
HIPAA Notice of Privacy Practices
Preventive Health Guidelines
Resources Letter
Screening Assessment Instrument State Requirements
Your Rights for Appeal of an Adverse Determination

Find additional prescription drug forms here.

Additional Resources

ARC of the Capital Area
Children with Special Health Care Needs Program
Coalition of Texans with Disabilities
Consumer Rights and Services
Services offered by DADS
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

Learn How Your Plan Works

To learn more about Forms and Documents, see the Member Handbook

Find a Doctor or Hospital

Use our Provider Finder® to search for doctors and other health care providers near you.

Contact Us

  •  1-877-688-1811(TTY 711)
  •  8 a.m. to 8 p.m. Central Time Monday through Friday
  • Contact Us