Obstetrical Providers must bill maternity services separately for STAR, CHIP and CHIP P
Community participates in the State of Texas Access Reform (STAR) and the Children’s Health Insurance Program (CHIP).
Community offers health insurance benefits in the Health Insurance Marketplace.
Community Health Choice (HMO D-SNP) is a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid.
Attention STAR Therapy Providers-Community Health Choice has launched the Provider Therapy Wait List Form via our Provider Portal for STAR Physical Therapy, Speech Therapy and Occupational Therapy wait lists. Please see the attached document for more information and step-by-step instructions on how to notify Community if you experience a Therapy Provider wait list.
The Tetanus, Diphtheria, and Acellular Pertussis (Tdap) vaccine is part of routine prenatal care and is a covered benefit in CHIP-P.
This vaccine is recommended by the Centers for Disease Control and Prevention (CDC), American Academy of Pediatrics (AAP), and American College of Obstetricians and Gynecologists (ACOG) as part of routine prenatal care:
• CDC: https://www.cdc.gov/pertussis/pregnant/mom/get-vaccinated.html
• AAP: https://www.aap.org/en-us/about-the-aap/aap-press-room/pages/AAP-Updates-TDAP-Recommendations.aspx
• ACOG: https://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Update-on-Immunization-and-Pregnancy-Tetanus-Diphtheria-and-Pertussis-Vaccination
Community will deny claims for CLIA-waived lab services if Provider does not have a valid CLIA certification
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