Mental Health and Substance Use Services for Adult Members

As a Member of Driscoll Health Plan, you can ask for and get the following information each year:

  • Information about network providers – at a minimum primary care doctors, specialists, and hospitals in our service area. This information will include names, addresses, phone numbers, and languages spoken (other than English) for each network provider, plus identification of providers that are not accepting new patients.
  • Any limits on your freedom of choice among network providers.
  • Your rights and responsibilities.
  • Information on the complaint, appeal, External Medical Review, and State Fair Hearing procedures.
  • Information about benefits available under the Medicaid program, including amount, duration, and scope of benefits. This is designed to make sure you know the benefits to which you are entitled.
  • How you get benefits including authorization requirements.
  • How you get benefits, including family planning services, from out-of-network providers and limits to those benefits.
  • How you get after-hours and emergency coverage and limits to those kinds of benefits, including:
    • What makes up emergency medical conditions, emergency services, and post-stabilization services.
    • The fact that you do not need prior authorization from your Primary Care Provider for emergency care services.
    • How to get emergency services, including instructions on how to use the 911 phone system or its local equivalent.
    • The addresses of any places where providers and hospitals furnish emergency services covered by Medicaid.
    • A statement saying you have a right to use any hospital or other settings for emergency care.
    • Post-stabilization rules.
  • Policy on referrals for specialty care and for other benefits you cannot get through your Primary Care Provider.
  • Driscoll Health Plan’s practice guidelines.
  • Provider Directory
  • Results of Member Satisfaction Surveys

Request Information:

To request information regarding any of the above, please contact Member Services.

Driscoll Health Plan
PHONE:
Member Services: 1-877-324-7543

EMAIL: [email protected]

MAIL:
Driscoll Health Plan
Attn: Member Services – Communications Team
4525 Ayers Street
Corpus Christi, Texas 78415

Resources

STAR Frequently Asked Questions

Your Primary Care Provider or another doctor is available by phone 24 hours a day, 7 days a week. If you get sick at night or on the weekend, you can call your Primary Care Provider’s office number for help. The office will have an answering service or message on how to contact your Primary Care Provider. Your Primary Care Provider should return your call within 30 minutes. 

You may also visit an in-network after-hours clinic or urgent care center for sudden illness. You should contact your Primary Care Provider’s office if you are unsure about going to an after-hours clinic or urgent care center. 

Carson B   0 July 21, 2023  

Driscoll Health Plan Member Advocates are here to help you with writing complaints and will help you through the complaint process. If you need help with an appeal, a Member Advocate can help you file an appeal and walk you through the process. If you have a question about the covered services or preventative services of Driscoll Health Plan, call Member Services toll-free at 1-877-324-7543. 

mdrnoe   0 October 9, 2023  

Our staff speaks English or Spanish and can help you with questions. We also have special services for members who have trouble reading, hearing, seeing, or speaking a language other than English or Spanish. Members or their legally authorized representatives can ask for the handbook in audio, larger print, Braille, and other languages. To get help, call Member Services toll-free or the TTY line listed on your member ID card. 

Carson B   0 July 21, 2023  

As soon as you have your new address, give it to HHSC benefits office by dialing 2-1-1 and call Driscoll Health Plan Member Services Department toll-free, for Nueces SA: 1-877-220-6376 or Hidalgo SA: 1-855-425-3247. Before you get Medicaid services in your new area, you must call Driscoll Health Plan, unless you need emergency services. You will continue to get care through Driscoll Health Plan until HHSC changes your address.

Carson B   0 July 21, 2023  

If you get a bill, call Member Services and we can help you. We can call the provider’s office for you. You are not responsible for co-pays, deductibles, and services that are not covered by Medicaid.  

Carson B   0 July 21, 2023  
Need more help? Call 1-877-324-7543

How to Apply

First, check to see if you qualify. Next, create a member login and complete the online application. If you have any questions, our staff is happy to help. 
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Become a Member

Everyone’s situation is unique—and we’re here to help. Explore programs and check eligibility.
Am I Eligible
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