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CLAIMSXTEN UPDATE
Effective January 1, 2021, Community will implement the following rules.
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Provider Services:
Monday - Friday, 8:00 a.m. - 5:00 p.m.
Local 713.295.2295 - Toll-free 1.888.760.2600
Fax: 713.295.2291
E-mail: [email protected]
Community participates in the Children’s Health Insurance Program (CHIP), including CHIP Perinatal (CHIP-P).
CHIP is a health insurance plan for children under the age of 19 and is designed for families who earn too much money to qualify for Texas Medicaid programs yet cannot afford to buy private insurance. CHIP-P provides prenatal care for the unborn children of low-income women who do not qualify for Medicaid.
Community participates in the State of Texas Access Reform (STAR) Managed Care Program (Medicaid).
As a part of Medicaid, Community provides both Children’s Medicaid and Medicaid for pregnant women. These programs are at no cost to U.S. residents who cannot afford health insurance.
Community proudly offers individual health insurance in the new Health Insurance Marketplace.
With a range of plan options to fit any budget, and a network of doctors you can trust, like Memorial Hermann, Community makes it easy to get the care you need and deserve.
Community’s (HMO D-SNP) plan offers additional benefits and services not covered under Original Medicare, such as dental, hearing aids, and vision. You keep all your Medicaid benefits. You get all of Original Medicare’s covered services.
You may be eligible if you have Medicare Parts A and B, qualify for Texas Medicaid QMB or QMB+ and live in our service area.
Texas CHIP PlanCommunity participates in the Children’s Health Insurance Program (CHIP), including CHIP Perinatal (CHIP-P).
CHIP is a health insurance plan for children under the age of 19 and is designed for families who earn too much money to qualify for Texas Medicaid programs yet cannot afford to buy private insurance. CHIP-P provides prenatal care for the unborn children of low-income women who do not qualify for Medicaid.
Texas STAR (Medicaid) PlanCommunity participates in the State of Texas Access Reform (STAR) Managed Care Program (Medicaid).
As a part of Medicaid, Community provides both Children’s Medicaid and Medicaid for pregnant women. These programs are at no cost to U.S. residents who cannot afford health insurance.
MarketplaceCommunity proudly offers individual health insurance in the new Health Insurance Marketplace.
With a range of plan options to fit any budget, and a network of doctors you can trust like Memorial Hermann, Community makes it easy to get the care you need and deserve.
Medicare D-SNPCommunity’s (HMO D-SNP) plan offers additional benefits and services not covered under Original Medicare, such as dental, hearing aids, and vision. You keep all your Medicaid benefits. You get all of Original Medicare’s covered services.
You may be eligible if you have Medicare Parts A and B, qualify for Texas Medicaid QMB or QMB+ and live in our service area.
Monday – Friday, 8:00 a.m. – 5:00 p.m.
Local: 713.295.2295
Toll-free: 1.888.760.2600
Fax: 713.295.7029
Email: [email protected]
In addition to updating information with Community Health Choice, Providers must also update their demographic information with Texas Medicaid & Healthcare Partnership (TMHP). To update demographic information in the TMHP Provider Information System (PIMS), please visit the TMHP Medicaid Providers homepage. For more information on using the PIMS, please reference the TMHP PIMS User Guide (pdf).
Community Health Choice is one of the greatest companies that I know. This program gives me hope in our Community.
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