IMPORTANT INFORMATION:

Children’s Medical Center Health Plan exited the STAR Kids program in the Dallas service area effective August 31, 2020. This area includes Dallas, Collin, Ellis, Hunt, Kaufman, Rockwall, and Navarro counties.

Children’s Medical Center Health Plan Claims Department wants to assure that all providers have the most current information.  With the closure of the health plan and to ensure timely responses to provider requests and concerns, please remember the following:

• Timely filing for clean claims is 95 days and claim appeals is 120 days.
• Please submit claims with dates of service 9/1/2020 forward to the proper health plan.

Effective March 15, 2021, Claims that are sent to the P.O. Box will not be received. 

Effective March 21, 2021, the Provider Portal for Children's Medical Center Health Plan will no longer be active.

Beginning March 29, 2021, the Provider Service line will no longer be answered during standard business hours. You will have the option to leave a voice mail and your call will be returned within 48 hours.

Effective June 14, 2021, the Provider Services line that can be reached by calling 1/800-947-4969 will no longer be answered. 

If you have questions for Children’s Medical Center Health Plan, please send inquiries or questions to CMCHPCompliance@childrens.com.