Texas Community Health Choice Medicaid

Registration Procedure For Community Health

For more benefits of medicare plans available on the Community Health Choice website, registration is compulsory. Registration steps are as follows:

Community Health Choice Providers: The Community Health Choice provider enrollment steps are listed below:

• Visit the Community Health Choices website.
• A Community Health Choice portal is open. In this portal, enter your tax number on the pages of the secure access application after clicking on Register Now. After that, click Submit to successfully register on the Community Health Provider Portal.

Guide To Healthcare Services

Your Primary Care Provider is an important part of your healthcare team.

Your doctor will:

• Make sure your child gets the care they need, like regular checkups
• Treat your child when they are sick
• Track everything about your childs past and present healthcare. Make sure they have all of your childs medical records. You need to sign a form giving permission.
• Make referrals to other doctors, if needed

You can pick any doctor in the Community network as your Primary Care Provider. You should pick a doctor with an office location and office hours that are convenient for you. If you like the Primary Care Provider that you see now, you can continue to see them if they are listed in Communitys Network directory.

To find a doctor online, click on the Find a Doctor box below. You can also call Member Services at 1.888.760.2600, and we will find you at least three doctors in your area to choose from.

Once you have picked a doctor call Member Services. We will assign that doctor to you. We will also mail you a Member ID card with your new doctor information.

• Minor broken bones

They are open after regular doctor office hours. Walk-ins are welcome, but wait times may vary.

To find an urgent care center near you, click on the Find an Urgent Care Center box above.

Benefits Of Registering With Chc Portal

The Community is always working for you and your family, from the benefits and special programs we offer to how our Member Services team can help you get the most out of them. Community Health Choice Medicaid benefits are listed below:

Top Doctors And Hospitals

They have a robust provider network and the largest hospital network in Southeast Texas. That is yet another reason to choose a plan near you.

Free 24-Hour Access To Telemedicine Services

Several community plans offer telemedicine services that allow you to talk to a certified physician for free via your phone, computer, or mobile device at any time of the day or night.

Manage Complex And Chronic Care Conditions

Based in Houston, Community Health Choice helps its members care for themselves and their families more effectively and informedly, including those diagnosed with chronic illnesses.

Beneficiary Protections

Medicare Advantage Organizations are responsible for ensuring that your organization and its Contract hospitals and critical access hospitals apply the provisions of the Notice of Observation, Treatment, and Effects on the Nursing Eligibility Act or NOTICE in a straight line. All AAMs and other Part C vendors and suppliers, including pharmacies, must refrain from Medicare cost-sharing charges for covered individuals.

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Here For A Healthy Texas

Community Health Choice is a local, nonprofit, managed care organization committed to helping improve the health and well-being for Texas residents. Launched in 1997 by Harris Health System, our regions public academic healthcare system, we began by offering STAR Medicaid coverage to low-income children. Today, we proudly offer a complete array of affordable and no-cost health insurance plans, along with one of the largest provider networks in southeast Texas.

Who Is Eligible For Autism Benefits

Effective February 1, 2022, Autism Services, to include Applied Behavior Analysis evaluation and treatment, became a benefit of the Texas Health Steps-Comprehensive Care Program for Texas Medicaid recipients who are 20 years of age and younger and who meet the criteria outlined in the Autism Services benefit description. This benefit is not available for CHIP recipients.

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Community Cares Center Locations

COVID-19 Cares Center In-Person Assistance Notice

For your health and ours, we are not offering walk-in assistance at this time. Please call the number on your ID card to schedule an appointment or discuss other options for assistance. We will confirm your appointment and give you a phone number to text when you arrive. Save this phone number.

On the day of your appointment:

If you have any of these symptoms, please reschedule.

• Shortness of breath or difficulty breathing
• New loss of taste or smell

When you come for your appointment:

We will take your temperature and ask you a few COVID-19 questions when you come in. If your temperature is above 99.9 or your answers lead us to believe you may have COVID-19, we will not be able to assist you.

We appreciate your cooperation. Help keep us all safe and healthy. Thank you for being our Member.

SERVICES OFFERED:

Eligibility For Community Health Choice Insurance

To participate in the Community Health Choice , a member must:

• Eligible for Medicare Part A
• Registered with Medicare Part B
• Live in our service area
• Texas Medicaid Eligible Categories: QMB or QMB Plus.

As a dual beneficiary, the beneficiarys benefits are paid first by Medicare and Medicaid. Medicaid coverage varies based on income, resources, and other factors. Benefits may include full Medicaid benefits and complete or partial payment of the members Medicare copayments .

How To Verify Eligibility?

Receive via the supplier portal

Call operator services

• All members receive an identity card from the community
• All members must select a PCP or the community will assign one.

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About Community Health Choice

The Community HealthChoices program offers seniors and adults with disabilities physical health benefits, long-term services, and qualified support. The Pennsylvania State Health Care Corporation Medicaid program provides various benefits and services through its accredited managed care organizations. Keystone First Community Health Choice Medicaid, UPMC, and PA Health and Wellness are among them.

They provide affordable, coordinated, high-quality health care services. As one of the most extensive health plans in the Gulf Coast region, CHC is based in Houston and offers Childrens Medicaid and CHIP. Their insurance and Medicaid plans cover over 400,000 people through a network of 9,000 doctors and 70 hospitals.

Thank You For Choosing Us

We are here to help you get great health care whenever you need it and find new ways to stay healthy. We have a welcome letter and ID card ready to send your way.Follow the steps below to make it official. Once you are all set up, a wellness checkup is a great way to get startedand there is no charge.

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Texas Healthy Women Program

Lost your Medicaid benefits? The Texas Healthy Women Program provides family planning exams, related health assessments, and birth control to women ages 18 to 44 whose family income is at or below the programs income limits . of poverty).

You must apply to find out if you can receive services through this program. Visit this site for more information.

The Texas Counties In The Service Areascovered By Community Health Choice

Communitys Member service area consists of 20 counties in Texas. Our teams live and work here. We understand the challenges our residents and Members face. And because we take the health and well-being of our entire region to heart, we proudly share a wealth of knowledge, special programs, care management, and valuable community resources like no one else can.

SEGMENT 1:Austin, Matagorda, Waller, and Wharton counties

SEGMENT 2:Brazoria, Chambers, Fort Bend, Galveston, Harris, Jefferson, Liberty, and Montgomery counties

SEGMENT 3:Hardin, Jasper, Newton, Orange, Polk, San Jacinto, Tyler, and Walker counties

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Make Your First Payment

• Pay online to make a Quick Payment.
• Pay anytime by phone using our automated system at 713.295.6704 or toll-free at 1.855.315.5386.
• Pay by mail with a check or money order. Send your payment to Community Health Choice, P.O. Box 844124, Dallas, TX 75284-4124.

Please note: Invoices are sent out automatically. If you have already made a payment, thank you! Some payments can take up to a week to process.

Community Tip: Make A ChoiceRemember, your payment must be received by the date on your invoice. If you miss this date, your plan is automatically canceled, and you will lose your coverage. You must re-enroll if you are still eligible.

Community First Choice Services

Community First Choice Services include:

• Help with activities of daily living and health-related tasks through hands-on assistance, supervision or cueing.
• Services to help the individual learn how to care for themselves.
• Backup systems or ways to ensure continuity of services and supports.
• Training on how to select, manage and dismiss attendants.

Texas began the Community First Choice program on June 1, 2015. This means:

• Individuals on a 1915 waiver interest list who meet eligibility and coverage requirements may be eligible to get Community First Choice services.
• Individuals already getting services through a 1915 waiver will continue to get those services as they do today from their existing providers.

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Choose A Primary Care Physician

Its important to choose a primary care physician from the Community Health Choice network to coordinate your care. Use our Provider Directory to see if your primary care physician is in the network or to find a new one.

Make your selection by signing in to your Member account, go to the Message Center and email us the Provider First and Last Name/Clinic Name and phone number. You can also call us at 713.295.6704 or toll-free at 1.855.315.5386 to let us know your choice. Please note that we are currently experiencing unexpected long hold times.

S For Payment Of Premium

The community has partnered with Change Healthcare and ECHO Health, Inc. for Electronic payment and invoicing. We describe it below Payment options and all the promotional items your office needs:

• Virtual Card Services: Virtual cards enable your office to accept payments such as credit card transactions and are typically received 7-10 days before paper checks as there is no delay in printing or sending. Your office will receive fax notifications containing a virtual card with a unique number for that payment transaction, your statement of payment , and a processing instructions page. Once you receive the virtual card number, enter the code into your agencys credit card terminal to process the payment.
• EFT/ACH Setting up an electronic funds transfer is a fast and reliable method of receiving payments. If you want to sign up for EFT, you have two options:

• To register to receive EFT through the Settlement Advocate for Community Health Choice only, visit https://view.echohealthinc.com/EFTERADirect/CommunityHealthChoice/index.html.
• Visit https://view.echohealthinc.com/EFTERA/efterainvitation.aspx to sign up to receive EFT from all payers who process payments on the Settlement Advocated platform.

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Guide To Community Health Choice Login

After registering for Community Health Choice, the next step is to log in to the Community Health Choice Login Portal. You can choose which of the two languages suits you for the Community Health Choice login. The registration steps are as follows:

Login At Community Health Choice Provider Portal: The steps for Login at Community Health Choice Provider Portal are as follows:

• Visit the Community Health Choices website.
• On the Community Health Choice Provider Portal website, click Become a Community Provider.
• A secure access application page opens. Below the word Secure Access Application is a line Click here if you are an existing user and want to reset your password.
• In this line, click on the word here, which links to the sequence listed in the previous point.
• A Community Health Choice provider portal page opens. On this page, click Sign In.
• A Community Health Choice provider login page opens. Enter your username and password, then click Log In.
• You can tick mark Remember Me if you want to log into the Community Health Choice provider login portal in the future.

Requirements For Community Health Choice Login:

• Personal Computers, Laptops, Smartphones, Tablets, and Ipads.
• Community Health Choice Login website.
• Good Internet Connectivity.
• Mozilla Firefox, Google Chrome, Microsoft Internet Explorer.
• Username and Password.

Our Local Community Advantage

Our teams live and work right here. We understand the challenges our residents and Members face. And because we take the health and well-being of our entire region to heart, we proudly share a wealth of knowledge, special programs, care management, and valuable community resources like no one else can. Community cares.

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See If You Need To Send Supporting Documentation

The Advanced Premium Tax Credit is a federal subsidy available to individuals and families who earn less than 400% of the Federal Poverty Level when enrolling in plans through the Health Insurance Marketplace. This subsidy helps to pay part of your health insurance premiums to make your insurance more affordable.

If you have been asked for supporting documentation by the Health Insurance Marketplace, send your supporting documents in to the Health Insurance Marketplace now. You have just 30 days from the day you enroll to show proof to the Centers for Medicare & Medicaid Services that you qualify for financial help with your premiums. It is important to send any missing documents or you will lose your eligibility for Marketplace coverage.

Chip Benefits And Coverage

Community Health Choice is a managed care organization that offers Texas CHIP coverage and provides services that are covered benefits of the CHIP Program. Read the Benefits section of our Member handbook and our Evidences of Coverage to see what is covered, what is not covered, and how to get these benefits.

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Tip #: Get Your Annual Physical

This is a great way for you and your primary care doctor to get to know each other and make sure youre as healthy as you think you are. Theres no copay for this visit, and it can save you money down the road, too, by helping you take care of early health issues before they become more serious.

So, dont put it off. Make an appointment today.

Any questions?

Were here to help. Call us at 713.295.6704 or toll-free at 1.815.315.5386, or visit our website.

Community is more than a health plan. Were a nonprofit health plan. We know that health care is expensive. Our goal is to help our Members get all the great care your family needs and the best bang for your buck. Ready to defend your dollars? Read our monthly tips to find out how it pays to be smart about healthcare spending. It might be easier than you think to save money. And who wouldnt want to do that these days?

What Kind Of Services Are Covered

Services covered by Community Health Choice :

Covered Services

• Check membership eligibility.
• Inform the community and other appropriate entities.
• Provide at least 90 days of written notice of termination, retirement, or relocation to the community outside the service area.
• A member has the right to make decisions about their care if they cannot make those decisions when necessary.
• A Member has the right to make decisions about their treatment in the event that the Member is not able to make those decisions at the time they are needed.

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State Of Texas Access Reform Managed Care Program

Community provides both Childrens Medicaid and Medicaid for Pregnant Women. These programs are at no cost to U.S. residents who cannot afford health insurance.

Childrens Medicaid Childrens Medicaid covers a child up through the month of his or her 21st birthday. Income determines eligibility. That income level is different based on age and Medicaid program. Members must recertify every year.

Medicaid for Pregnant Women Medicaid for Pregnant Women covers a childbearing woman of any age. Members must be at 185% or lower of the Federal Poverty Level . Members must recertify every year.

Do You Qualify For Texas Star

Thinking about becoming a Community Health Choice Member? Here are some quick facts about the Medicaid Program and Community Health Choice to get you started.

Important: The state of Texas has automatically extended CHIP and STAR Medicaid benefits since the federal government issued a public health emergency due to the COVID-19 epidemic.

Visit our public health emergency site for more information.

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Reset Your Username And Password For The Portal

Many Community Health Choice insurance account holders forget their username or password during the Community Health Choice login period. For this solution to the issue, we have listed the following steps to reset your Community Health Choice login information:

Reset Steps For Community Health Choice Provider Login: The steps to reset your username or password on the Community Health Providers of Choice Portal are listed below:

• Visit www.communityhealthchoice.org.

S For Community Health Choice Login

The next step is to access the Community Health Choice portal through login. You have the choice between two languages . The Steps For Login are as follows:

• Login For Community Health Choice Marketplace: To log into the Community Health Choice Marketplace:

• Visit the Community Health Choice website .
• Go to My Account on the Community Health Choice website.
• Select Health Insurance Market.
• You will have access to the community health market. A member login option will be available in the Community Health Choice Marketplace Portal.
• Enter the username and password you received when you signed up for the Community Health Choice Marketplace. Once you log in, you will see your account information.

• Login For Community Health Choice Medicaid/CHIP:

To sign up for Medicaid/CHIP through Community Health Choice, follow these steps:

• Please visit the Community Health Choice website .
• The site will ask you to select one of the products to Login to the Community Health Choice.
• To login to Community Health Choice Medicaid/CHIP, click on the Medicaid/CHIP option.
• Enter your username and password in the member login option.

Requirements For Community Health Choice Login:

• PCs, laptops, smartphones, tablets, and iPads.
• Visit the Community Health Choice website .
• Good internet connection.
• Mozilla Firefox, Google Chrome, Microsoft Internet Explorer.
• Username and password.

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