Local: 713.295.2294 | Toll-Free: 1.888.760.2600
Monday through Friday (excluding State-approved holidays) 8:00 a.m. to 6:00 p.m.

Local: 713.295.2222 | Toll-Free: 1.877.635.6736
Monday through Friday (excluding State-approved holidays) 8:00 a.m. to 6:00 p.m.

State Fair Hearing

Effective May 1, 2022

To ask for a State Fair Hearing, you or your representative should either send a letter to the health plan at

Community Health Choice Texas, Inc.
Medical Appeals Department-Medical Affairs
2636 South Loop West, Suite 125 Houston, TX 77054
Phone: 713.295.2294 or toll-free at 1.888.760.2600
Fax: 713.295.7033

Or call toll-free at 1.888.760.2600.

 To read the State Fair Hearing process, visit: https://www.communityhealthchoice.org/texas-star-medicaid-plan/member-resources/state-fair-hearing-and-external-medical-review/

External Medical Review

Effective May 1, 2022

To ask for an External Medical Review, the Member or the Member’s representative should either:

• Fill out the ‘State Fair Hearing and External Medical Review Request Form’ provided as an attachment to the Member Notice of MCO Internal Appeal Decision letter and mail or fax it to by using the address or fax number at the top of the form;
• Call the Community Health Choice at 713.295.2294 or toll-free at 1.888.760.2600;
• Email Community Health Choice at [email protected] or;
• Go in-person to a local HHSC office.

To read the External Medical Review process, visit: https://www.communityhealthchoice.org/texas-star-medicaid-plan/member-resources/state-fair-hearing-and-external-medical-review/

7-1-1

Call our Nurse Advice Line 24 hours a day, seven days a week toll-free at 1.888.332.2730 or TDD at 7-1-1.
Call the Nurse Advice Line before going to the emergency room, unless it is an emergency. A nurse will answer your health care questions and help you get the care you need. Get help in English or Spanish. You can also ask for an interpreter.

Local: 832.CHC.CARE (832.242.2273) | Toll-Free 1.844.297.4450
Monday through Friday
8:00 a.m. to 5:00 p.m.

Community Health Choice Member Services
Phone: 1.888.760.2600

Envolve Vision – STAR Members
Phone: 1.844.686.4358
Web site: https://visionbenefits.envolvehealth.com

(Medicaid/CHIP/CHIP Perinatal)
Local: 2-1-1 | Toll-Free: 1.877.541.7905

STAR and CHIP Members under 21 years of age:

United Healthcare Dental
Phone: 1.800.822.5353
Web site: Uhc.com/DentalTX

DentaQuest
Phone: 1.800.516.0165
Web site: https://dentaquest.com/

MCNA Dental
Phone: 1.800.494.6262
Web site: https://www.mcnatx.net/

Value-Added Service for STAR Members 21 years of age and older:
FCL Dental
Phone: 1.866.844.4251
Web site: http://www.fcldental.com/home

Community Health Choice
1.877.343.3108
24 hours a day, 7 days a week; In case of emergency, call 9-1-1 or go to the nearest hospital.

What is a referral?

713.295.2295
8:00 a.m. – 5:00 p.m., Monday – Friday, for information on our managed care plan and the Members they serve; claims inquiries; contract clarification/interpretation; EFT/ERA request; provider education in-services; provider updates (address/phone/tax ID).

1.877.888.0002

Member
Non Member