Welcome Texas Medicaid & CHIP Members

• Your rights and responsibilities
• File a complaint or an appeal
• Request a fair hearing
• Prior authorization process
• Replace your lost or stolen Member ID card
• Frequently asked questions
  
• Financial literacy information
• Glossary of terms

• Your rights and responsibilities
• File a complaint or an appeal
• Prior authorization process
• Replace your lost or stolen Member ID card
• Co-pays and cost sharing
• Financial literacy information
• Frequently asked questions
• Glossary of terms

How can I change my child's Main Dentist?

1. You can change your dentist directly on our website using our online tool.
   
2. You can log into your secure Member Website and follow the instructions for changing your dentist.
   
3. You can download the myDentaquest app from the App Store (Apple) or from Google Play (Android) and change your child's Main Dentist.

Unsure about your Main Dentist or need to pick a new one? Learn about your child's Main Dentist

For each member registering, you will need:

• The Member's ID card
• First and last name exactly the way it appears on the Member's ID card
• Date of birth
• Medicaid or CHIP ID number
• Email address – this will be your username when you finish registering
   

Don’t have your Member ID card?

If you can’t find your Member ID card, or need a new one, call our Member call center:

• Medicaid dental plan: 1-800-516-0165 (toll-free); 7-1-1 (TDD/TTY toll-free)
• Children’s Health Insurance Program (CHIP) dental plan: 1-800-508-6775 (toll-free); 7-1-1 (TDD/TTY toll-free)

Register for the secure Member Website

An HHSC Policy Flexibility for Member Appeals is Ending Mar. 31

In January 2020, the federal government declared a public health emergency (PHE) in response to COVID-19. Under the PHE, the Texas Health and Human Services Commission (HHSC) has provided certain flexibilities, including allowing managed care members more time to request an appeal. Instead of the required 60 days, members were given 90 days to request an appeal during the PHE.

HHSC will be ending this flexibility on March 31, 2023.

Starting April 1, 2023, if you receive an “Adverse Benefit Determination” notice and want to appeal it, you must file your appeal within 60 days of the date the notice is mailed. Appeals filed past this deadline may not be reviewed. If you have any questions, please reach out to your health plan representative.

Texas Health Steps gives your child free dental checkups starting at 6 months of age. Checkups can help find health problems before they get worse and harder to treat. Call Texas Health Steps toll-free 1-877-847-8377 (1-877-THSTEPS) or go to www.txhealthsteps.com to learn more about Medicaid and Texas Health Steps.