Our website for providers is designed as a tool to help you. You can find an array of resources such as:
- Pharmacy Directories
- Downloadable forms
- Claims information
- Practice guidelines
- Provider Newsletters
- Contracting and Credentialing
- Billing guidelines.
Provider Manuals
Helpful links
- Texas Medicaid & Healthcare Partnership
- Texas Health and Human Services
- Texas Medicaid/CHIP Vendor Drug Program
- Texas Health Steps Provider Information
- Screening and Coding for Social Determinants of Health
Member Rights and Responsibilities
Clinical and Administrative Advisory Committee
The Clinical and Administrative Advisory Committees will provide recommendations and assistance to Texas Children’s in the following areas:
- Development, review and revision of clinical practice guidelines;
- Review of general clinical practice patterns and assessment of Provider compliance with clinical guidelines;
- Development of Quality Improvement strategies and studies in coordination with Texas Children’s, HHSC, and the EQRO;
- Strategies and recommendations for improving Health Plan administrative procedures;
- Recommendations on how to improve care based on Member feedback and their personal experiences serving our Members; and
- Opportunities for connecting network Providers and MCO clinical experts for purposes of peer support and sharing best practices.