Providers

Resources & Information

To verify member eligibility, benefits, prior authorizations, claim questions or Provider Relations, contact:

  • Provider Services for Hidalgo Service Area (1-855-425-3247)

  • Provider Services for Nueces Service Area (1-877-324-3627)

  • Preauthorization and Referrals (CHIP/STAR/STAR Kids) – Utilization Management Department (1-877-455-1053; FAX: 1-866-741-5650)

  • Prior authorization for PDN, PCS, and LTSS services (1-844-376-5437 /Fax: 1-844-381-5437)



Contact Information

Driscoll Health Plan
ATTN: Performance Excellence Specialist
4525 Ayers St.
Corpus Christi, Texas 78415

Phone Number: 1-877-220-6376 (Nueces SA) or 1-855-425-3247 (Hidalgo SA)

Fax Number: 361-808-2725

Email: DHP_QM_Complaints@dchstx.org

 

You can also file a complaint through the Health and Human Services Commission (HHSC) by calling HHSC toll-free number 1-866-566-8989. If you would like to make your complaint in writing, please send it to:

Texas Health and Human Services Commission
Health Plan Operations — H-320
P.O. Box 85200
Austin, Texas 78708-5200
ATTN: Resolution Services

Email: HPM_Complaints@hhsc.state.tx.us and STAR.Health@hhsc.state.tx.us

Contact Information:

Claim Appeals may be submitted via:

ATTN: Claims Appeals Department
4525 Ayers St.
Corpus Christi, TX 78415

 

 

Driscoll Health Plan places great emphasis on the wellness of its Members. A large part of quality health care delivery is treating the whole patient, not just the medical condition. Sensitivity to different cultural influences, beliefs, and backgrounds can improve a provider’s relationship with patients and in the long run the health and wellness of the patients themselves. DHP encourages all providers to be sensitive to varying cultures in the community.

For more information, please visit the Texas Health Steps website.

 

DHP offering Cultural Competency Training Available for Providers

What is cultural competency and why does it matter to you or healthcare? Providers are providing care to diverse patients and their families. Effective communication between the provider and the member leads to better health outcomes. In addition, provider cultural competency supports unbiased quality care and delivery of care that is respectful of diverse patients’ beliefs, cultural, and linguistic needs while also reducing health disparity and improving access to high-quality care.

DHP is promoting THSteps and other providers to take advantage of the Health and Human Services (HHS) Texas Health Steps Culturally Effective Heath Care CE Online course. HHS is offering 1.00 CE hours for the completion of this course.

https://www.txhealthsteps.com/500-culturally-effective-health-care

This course/module will equip Texas Health Steps providers and others to employ best practices and professional ethics to serve the healthcare needs of culturally diverse children and adolescents and their families, as well as to meet legal requirements for confidentiality, informed consent, and language assistance to families who are not proficient in English.