Texas Medicaid
For the latest information on flexibilities and extensions due to COVID-19, refer to the Texas Medicaid & Healthcare Partnership and Texas Health and Human Services Commission websites.
Plan-specific information
Blue Cross and Blue Shield of Texas
- BCBS TX Medicaid Provider Handbook Supplement (PDF)
- BCBS TX Provider Quick Reference Guide (PDF)
- Texas STAR Kids
- Texas Standard Prior Authorization Request Form for Health Care Services
- For Texas Medicaid ABA resources, sign in to this website.
Dell Children's Health Plan
- DCHP TX Medicaid Provider Handbook Supplement (PDF)
- DCHP Provider Quick Reference Guide (PDF)
- Texas Standard Prior Authorization Request Form for Health Care Services
- For Texas Medicaid specific ABA resources, sign in to this website.
Program information
- Remember to complete your relevant revalidation enrollment before the end of your enrollment period. You can revalidate your enrollment in the Provider Enrollment and Management System (PEMS) up to 120 calendar days before your current revalidation due date. Find details at www.tmhp.com. For more information, call the TMHP Contact Center at 1-800-925-9126.
- What you need to know about member appeals from Texas Health and Human Services: recorded webinar (registration required) and slide deck (PDF)
- Texas Health and Human Services' Postpartum Depression Toolkit for Clinicians (PDF)
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TCM and rehab providers: visit the Texas Center for training and resources
- Facilities:
- Prescribers:
Autism services/applied behavior analysis
The Texas Medicaid Provider Procedures Manual (PDF) includes Autism Services Policy language, see page 19. Magellan follows this policy from the Texas Health and Human Services Commission when making determinations for STAR and STAR Kids members.
Find answers to questions about Texas Medicaid ABA services in our FAQ.
The Texas Health and Human Services Commission offers informational Family Flyers about ABA services to be shared with members. Flyers are available in English (PDF) and Spanish (PDF).
For Texas Medicaid specific ABA resources, sign in to this website.
From the Resources section, select State & Plan Information, then under State-Specific, click the Texas Medicaid link to access to access the following materials:
- Texas Medicaid ABA Provider Orientation
- Texas Medicaid ABA Initial Authorization Form
- Texas Medicaid ABA Treatment Plan/Concurrent Review Form