Frequently Asked Questions

STAR

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  

Your Primary Care Provider can help you decide if you need to see a specialist. In general, you cannot go to another doctor or get a special service unless your Primary Care Provider agrees to make a referral. Refer to your member handbook for additional information. 

Carson B   0 July 21, 2023  

You should ask for Non-Emergency Medical Transportation (NEMT) services as early as possible and at least two business days before you need the NEMT service. In certain circumstances, you may ask for the NEMT service with less notice.

Carson B   0 July 21, 2023  

If you need medical care when traveling, call us toll-free, for Nueces SA: 1-877-220-6376 or Hidalgo SA: 1-855-425-3247 and we will help you find a doctor. 

 If you need emergency services while traveling, go to a nearby hospital, then call us toll-free, for Nueces SA: 1-877-220-6376 or Hidalgo SA: 1-855-425-3247.

Carson B   0 July 21, 2023  

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  

Emergency Behavioral Health Condition means:  

Any condition, without regard to the nature or cause of the condition, which in the opinion of a prudent layperson, possessing an average knowledge of medicine and health: 

  • requires immediate intervention or medical attention without which the Member would present an immediate danger to themselves or others; or 
  • which renders the Member incapable of controlling, knowing, or understanding the consequences of their actions. 

 Emergency care is available 24 hours a day, 7 days a week. 

Carson B   0 July 21, 2023  

Emergency medical condition means a medical condition manifesting itself by acute symptoms of recent onset and sufficient severity (including severe pain), such that a prudent layperson, who possesses an average knowledge of health and medicine, could reasonably expect the absence of immediate medical care could result in: 

  • Placing the patient’s health in serious jeopardy; 
  • Serious impairment of bodily functions; 
  • Serious dysfunction of any bodily organ or part; 
  • Serious disfigurement; or 
  • In the case of a pregnant women, serious jeopardy to the health of a woman and her unborn child. 

 Emergency care is available 24 hours a day, 7 days a week. 

 When to seek EMERGENCY medical care: 

  • You think you and/or your child’s condition is life-threatening; 
  • You and/or your child has serious pain; or 
  • Serious harm could come to you and/or your child if you do not get immediate medical care. 
Carson B   0 July 21, 2023  

You may choose a clinic as your Primary Care Provider. This can be a Federally Qualified Health Center (FQHC) or a Rural Health Clinic (RHC). 

Carson B   0 July 21, 2023  

There is no limit on how many times you can change your or your child’s Primary Care Provider. You can change primary care providers by calling us toll-free, for Nueces SA: 1-877-220-6376 or Hidalgo SA: 1-855-425-3247

Carson B   0 July 21, 2023  

You may change your PCP at any time. If you have seen your PCP within the current month, the change will become effective on the first day of the following month. If you have NOT seen your PCP within the current month, the change will become effective on the first day of the month in which the change is made. The PCP change may be expedited if DHP decides it is in the best interest of the Member and the current PCP.

Carson B   0 July 21, 2023  

Driscoll Health Plan wants you to be happy with your Primary Care Provider. You can change your Primary Care Provider if: 

  • You are not happy with your Primary Care Provider’s care. 
  • You need a different doctor to take care of you. 
  • You move farther away from your Primary Care Provider. 
  • Your Primary Care Provider is no longer a part of Driscoll Health Plan’s network. 
  • You do not get along with your Primary Care Provider. 

You can change your Primary Care Provider by calling Member Services. The Driscoll Health Plan Provider Directory lists all Primary Care Providers. 

Carson B   0 July 21, 2023  

A Primary Care Provider is your main doctor, nurse practitioner, or physician assistant who takes care of your medical needs. Your PCP will make sure you get regular checkups. They will write prescriptions for medicines and supplies you need. Your PCP may also refer you to other providers if needed.

Carson B   0 July 21, 2023  
  • Your Driscoll Health Plan Member ID card and Your Texas Benefits Medicaid card 
  • Your child’s vaccination record (if he or she needs vaccines) 
  • Medications you are taking
Carson B   0 July 20, 2023  

If your Medicaid ID card is lost or stolen, you can get a new one by calling toll-free at 1-800-252-8263, or by going online to order or print a temporary card at yourtexasbenfits.com

Carson B   0 July 20, 2023  

STAR Kids

Contact your Service Coordinator if your child needs to see a doctor or provider that is out of the area. We want to make sure your child keeps getting the care and services needed during the transition into STAR Kids. Driscoll Health Plan will authorize services that are out of the area when it is the best interest of your child.

Carson B   0 July 21, 2023  

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 cares 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.

Carson B   0 July 21, 2023  

As soon as you have your new address, give it to the HHSC benefits office by dialing 2-1-1 and call Member Services toll-free, for Nueces SA: 1-844-508-4672or Hidalgo SA: 1-844-508-4674. Before you get Medicaid services in your new area, you must call Driscoll Health Plan, unless you need emergency services. You will keep getting 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  

These services will continue until your DHP Service Coordinator assesses your needs and determines the number of hours you will require. Call your Service Coordinator or the Service Coordination Line toll-free at: 

Nueces: 1-844-508-4673
Hidalgo: 1-844-508-4675

Carson B   0 July 21, 2023  

Yes, you can see the same doctor as your child if the doctor takes care of adults.   You can call your child’s doctor and ask them or you can call Member Services. Member Service can help you in finding out if the doctor takes care of adults. 

If your child’s doctor does take care of adults and you want to change your doctor you will need to call Member Services to change your doctor of record. Service Coordination can also help you with scheduling an appointment for your child.  Call the Service Coordination Line toll-free at: 

Nueces: 1-844-508-4673 
Hidalgo: 1-844-508-4675

Carson B   0 July 21, 2023  

Medicaid covers some durable medical equipment and products normally found in a pharmacy. For all Members, Driscoll Health Plan pays for nebulizers, ostomy supplies, and other covered supplies and equipment if they are medically necessary. For children (birth through age 20), Driscoll Health Plan also pays for medically necessary prescribed over-the-counter drugs, diapers, formula, and some vitamins and minerals. 

To learn more, please call Members Services. 

Carson B   0 July 21, 2023  

Community First Choice provides home and community-based basic attendant services and supports. The services you can get in CFC are: 

  • Help with daily tasks like dressing, bathing, and eating. 
  • Services to help you learn how to care for yourself. 
  • Backup systems or ways to ensure services and supports keep going. 
  • Training on how to pick, manage, and dismiss an attendant. 

To learn more, call Service Coordination toll-free at: 

Nueces: 1-844-508-4673 
Hidalgo: 1-844-508-4675 

Carson B   0 July 21, 2023  

Personal Care Services helps with everyday tasks like bathing, eating, dressing, and walking.  PCS can also help you to fix meals and do light housework. Your Service Coordinator will assess your need for this service at each home visit. To learn more, call your Service Coordinator toll-free at: 

Nueces: 1-844-508-4673 
Hidalgo: 1-844-508-4675 

Carson B   0 July 21, 2023  

In STAR Kids, you may select how you would like some LTSS delivered. 

  • Agency Option (AO): all services provided and managed by an agency 
  • Service Responsibility Option (SRO): person manages day-to-day activities while the provider agency manages business activities 
  • CDS option: person who manages day-to-day and business activities 

CDS option gives you more choices and control over how some of your LTSS services are delivered. 

If you choose the CDS option, you will be able to: 

  • Find, screen, hire and fire the people who provide services to you or our staff. 
  • Train and direct your staff 

Services that can be managed by CDS will depend on your Waiver. Some of these services may include; attendant care, speech, physical and occupational therapy, respite care, employment assistance, flexible family support, etc. 

If you choose to be in CDS, you will contract with a Financial Management Services Agency (FMSA). FMSA will: 

  • Provide training and support to help you with your staff, 
  • Do your payroll and, 
  • File your taxes. 

Call the Service Coordination Line toll-free at: 

Nueces: 1-844-508-4673
Hidalgo: 1-844-508-4675 

Carson B   0 July 21, 2023  

To choose an OB/GYN, call Member Services. You can also have the OB/GYN doctor be your Primary Care Provider. If you want to have the OB/GYN doctor be your Primary Care Provider, call Member Services. 

Carson B   0 July 21, 2023  

You have the right to pick an OB/GYN without a referral from your Primary Care Provider.

Carson B   0 July 21, 2023  

A network pharmacy can be found on the Pharmacy Network List at driscollhealthplan.com or contact Member Services for help finding a network pharmacy.

Carson B   0 July 21, 2023  

Family planning services (such as birth control and counseling) are very private. You can have a once a year visit, counseling, and tests. You can also have drugs and supplies that prevent pregnancy. Ask your primary care provider if he or she offers family planning services such as birth control. If you do not feel comfortable talking with your primary care provider, call Member Services or your Service Coordinator. You can go to any family planning clinic that will take Medicaid. 

Carson B   0 July 21, 2023  

To get eye exams or glasses, call Envolve, for Nueces 1-844-305-8300 or Hidalgo 1-844-725-6410. You do not need a referral from your Primary Care Provider for routine eye checkups from ophthalmologists or optometrists in Envolve’s provider network. 

Carson B   0 July 21, 2023  

If your doctor cannot be reached to approve a prescription, you may be able to get a three-day emergency supply of your medication. 

Carson B   0 July 21, 2023  

You should ask for NEMT services as early as possible and at least two business days before you need the NEMT service. In certain circumstances, you may ask for the NEMT service with less notice.

Carson B   0 July 21, 2023  

Driscoll Health Plan will provide you with information on how to schedule a ride through SafeRide Health. Call Saferide Health to schedule and pick up at: 1-833-694-5881

Carson B   0 July 21, 2023  

In addition to your regular health benefits, Driscoll Health Plan offers extra services to our Members at no cost. Driscoll Health Plan wants you and your family to stay healthy and enjoy life. Therefore, we offer a Value-Added Service for everyone in the family.

Carson B   0 July 21, 2023  

Respite care is temporary help for caregivers from the responsibilities of caring for a person with special needs. Services might be delivered in the home or out of the home. Respite care can be a few hours provided: 

  • on a one-time basis 
  • overnight or 
  • extended care 
Carson B   0 July 21, 2023  

Minor Home Modifications must be needed to ensure health, welfare and safety or to support independence in the home. Some STAR Kids members might be able to get Minor Home Modifications, such as MDCP members. 

Driscoll Health Plan will cover changes to existing bathrooms and doorways, as well as ramps. 

For more information about Minor Home Modifications, contact your Service Coordinator or the Service Coordination Line toll-free at: 

Nueces: 1-844-508-4673 
Hidalgo: 1-844-508-4675 

Carson B   0 July 21, 2023  

There might be times when the DHP’s Medical Director denies these services. When this happens, you can ask for an appeal for the denial of payment for services in whole or in part. For help with how to fill out the appeal form, call Member Services. 

Carson B   0 July 21, 2023  

We want to help you. If you have questions about how to file a complaint, please call us toll-free, for Nueces SA: 1-844-508-4672 or Hidalgo SA: 1-844-508-4674 to tell us about your problem. A Driscoll Health Plan Member  Advocate can help you file a complaint. 

Once you have gone through the Driscoll Health Plan complaint process, and you are not pleased with our response, you may file your complaint directly to the Health and Human Services Commission (HHSC) by calling toll-free 1-866-566-8989. If you would like to make your complaint in writing, please send it to the following address: 

Texas Health and Human Services Commission
Ombudsman Managed Care Assistance Team
P.O. Box 13247
Austin, TX 78711-3247 

 If you can get on the Internet, you can submit your complaint at: hhs.texas.gov/managed-care-help 

Carson B   0 July 21, 2023  

For help on choosing a specialist in our network call Service Coordination toll-free at: 

Nueces: 1-844-508-4673 

Hidalgo: 1-844-508-4675 

Carson B   0 July 21, 2023  

Your Primary Care Provider can help you decide if your child needs to see a specialist. Your child’s doctor will make a referral for services, if needed. There are some exceptions to referral requirements, especially for MDCP Members. You may also share your referral questions with your Service Coordinator. 

Carson B   0 July 21, 2023  

Driscoll Health Plan has a program for Members who have asthma or diabetes. The program helps you and your family to understand and take care of your disease. Our goal is for you to have better health.  Your Service Coordinator will call to explain the program and will assess your asthma or diabetes during a scheduled visit. The Service Coordinator will work with you and your doctor to create a plan. 

To learn more, call Driscoll Health Plan Disease Management at: 

Nueces: 1-844-508-4673 

Hidalgo: 1-844-508-4675

Carson B   0 July 21, 2023  

Driscoll Health Plan wants you to be happy with your Primary Care Provider. You can change your Primary Care Provider if: 

  • You are not happy with the Primary Care Provider’s care. 
  • You need a different doctor to take care of you. 
  • You move farther away from the Primary Care Provider. 
  • Your Primary Care Provider is no longer a part of Driscoll Health Plan’s network. 
  • You do not get along with the Primary Care Provider. 

You can change Primary Care Providers by calling Member Services. The Driscoll Health Plan Provider Directory lists all Primary Care Providers. 

Carson B   0 July 21, 2023  

A Primary Care Provider is your main doctor, nurse practitioner, or physician assistant who takes care of your medical needs. Your PCP will make sure you get regular checkups. They will write prescriptions for medicines and supplies you need. Your PCP may also refer you to other providers if needed. 

Carson B   0 July 21, 2023  

If you would like to speak to a Service Coordinator, call the Driscoll Health Plan Service Coordination line at: 

Nueces: 1-844-508-4673 

Hidalgo: 1-844-508-4675

Carson B   0 July 21, 2023  

A Service Coordinator will assess your health care needs. Once a care plan is in place, the Service Coordinator will monitor your progress towards your health care goals. They will help with: 

  • Organizing services 
  • Scheduling doctor’s visits 
  • Arranging transportation 
  • Identifying resources 
  • Caregivers support
Carson B   0 July 21, 2023  

Service coordination helps you with getting the covered services you need. This service costs you nothing. Your Service Coordinator will work with you, your family, and provider to create an Individual Service Plan.

Carson B   0 July 21, 2023  

If you lose your ID card, call us right away, for Nueces SA: 1-844-508-4672 or Hidalgo SA: 1-844-508-4674 to get a new one. We can mail you one right away. If you move or change phone numbers, call us so we can send you another ID card. We always need to have your correct address and phone number.

Carson B   0 July 21, 2023  

CHIP

Our staff speaks English or Spanish and can help you with questions. We also have special services for people who have trouble reading, hearing, seeing, or speaking a language other than English or Spanish. You can ask for member materials in audio, larger print, Braille, and other languages. To get help, call our Member Services toll-free number on your ID card.  

Carson B   0 July 21, 2023  

You must report your new address before getting any services in your new area unless it is an emergency. If you have moved out of the DHP service area you will be reassigned to a new health plan. You will continue to get care through DHP until the address is changed. 

If you are a CHIP member: As soon as you have your new address, give it to HHSC by calling 2-1-1 or updating your account on yourtexasbenefits.com and call the Driscoll Health Plan Member Services Department at 1-877-451-5598. Before you get CHIP 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. 

If you are a CHIP Perinate member: As soon as you have your new address, give it to the HHSC by calling 2-1-1, or updating your account on yourtexasbenefits.com and calling Driscoll Health Plan Member Services at 1-877-451-5598. Before you get CHIP services in your new area, you must call Driscoll Health Plan Member Services, 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 from your Primary Care Provider or other Doctor, call Member Services at 1-877-451-5598 and someone will call the Doctor’s office. We will help to explain your benefits and copayments. 

Carson B   0 July 21, 2023  

If you get a bill, call Member Services at the numbers shown to the right, and someone will help you. When you call, please have your ID card and doctor’s bill. Member Services will need this information to help you.

Carson B   0 July 21, 2023  

Your PCP will tell you when you and/or your child need to see a specialist. Your PCP will make sure that you and/or your child get the special care needed. Most of the time, you cannot go to another doctor or get a special service if your PCP does not agree to make a referral. A referral is when your PCP sends you to another doctor. You should expect the specialist to give you an appointment within 30 days for non-urgent care or within 24 hours for urgent care. 

Carson B   0 July 21, 2023  

If you are a CHIP member and need a ride to the doctor’s office, SafeRide Health offers transportation services to medical appointments. 

Phone Reservations: 1-833-694-5881 

We can help you with a ride to the doctor. 

Carson B   0 July 21, 2023  

If you and/or your child get sick while you are out of town or out of state, call your PCP. Your PCP’s phone number is listed on the front of your DHP ID card. You may also call Member Services at the number on the back of your ID card. If you and/or your child have an emergency while you are out of town or out of state, go to the nearest ER. 

Driscoll Health Plan does not cover any care outside of the United States. 

Carson B   0 July 21, 2023  

If you and/or your child gets sick at night or on the weekend and cannot wait to get medical care, call your PCP for advice. If you and/or your child have a fever or a sore throat and you are not sure what to do, call your PCP’s office. Your PCP or another doctor are available by phone 24 hours a day, 7 days a week. 

Carson B   0 July 21, 2023  

Emergency medical condition means a medical condition manifesting itself by acute symptoms of recent onset and sufficient severity (including severe pain), such that a prudent layperson, who possesses an average knowledge of health and medicine, could reasonably expect the absence of immediate medical care could result in: 

  • Placing the patient’s health in serious jeopardy; 
  • Serious impairment of bodily functions; 
  • Serious dysfunction of any bodily organ or part; 
  • Serious disfigurement; or 
  • In the case of a pregnant women, serious jeopardy to the health of a woman and her unborn child. 

 Emergency care is available 24 hours a day, 7 days a week. 

 You and/or your child have an EMERGENCY medical need if: 

  • You think you and/or your child’s condition is life-threatening; 
  • You and/or your child has serious pain; or 
  • Serious harm could come to you and/or your child if you do not get immediate medical care. 
Carson B   0 July 21, 2023  

There is no limit on how many times you can change your or your child’s primary care provider. You can change primary care providers by calling us toll-free at  1-877-451-5598.

Carson B   0 July 21, 2023  

You and/or your child may choose a clinic as your PCP. This can be a Federally Qualified Health Center (FQHC) or a Rural Health Clinic (RHC). A hospital-based clinic such as the Spohn Family Health Clinics can also be your PCP. To choose a clinic as your PCP or if you have questions, call Member Services at 1-877-451-5598.

Carson B   0 July 21, 2023  

You can change your PCP at any time. If you have seen your PCP within the current month, the change will become effective on the first day of the following month. If you have NOT seen your PCP within the current month, the change will become effective on the first day of the month in which the change is made. The PCP change may be expedited if DHP decides it is in the best interest of both the Member and the current PCP. You need to continue to see your current PCP until the change is effective. 

Carson B   0 July 21, 2023  

Having a medical home is very important. It makes sure that you and/or your child have a doctor that you know and trust for all your medical needs. If for any reason you need to change your PCP, call Member Services at 1-877-451-5598.  

Carson B   0 July 21, 2023  

You must take your DHP ID Card. Bring a list of medicines you and/or your child are taking. If you take your child, also remember to take your child’s shot records. 

Carson B   0 July 21, 2023  

If you lose your DHPID card, call us right away at 1-877-451-5598 to get a new one. We can mail you one right away. If you move or change phone numbers, call us so we can send you another ID card. We always need to have your correct address and phone number. 

Carson B   0 July 21, 2023  

CHIP Perinatal

If you lose your DHPID card, call us right away at 1-877-451-5598 to get a new one. We can mail you one right away. If you move or change phone numbers, call us so we can send you another ID card. We always need to have your correct address and phone number. 

Carson B   0 July 20, 2023  

Our staff speaks English or Spanish and can help you with questions. We also have special services for people who have trouble reading, hearing, seeing, or speaking a language other than English or Spanish. You can ask for member materials in audio, larger print, Braille, and other languages. To get help, call our Member Services toll-free number on your ID card.

Carson B   0 July 20, 2023  

As soon as you have your new address, give it to the HHSC by calling 2-1-1, or updating your account on yourtexasbenefits.com and calling Driscoll Health Plan Member Services at 1-877-451-5598. Before you get CHIP services in your new area, you must call Driscoll Health Plan Member Services, unless you need emergency services. You will continue to get care through Driscoll Health Plan until HHSC changes your address.

Carson B   0 July 20, 2023  

If you get a bill from your provider, call Member Services at 1-877-451-5598. We will contact the provider’s office and explain your benefits. 

Carson B   0 July 20, 2023  

You do not need a referral to go see your CHIP Perinatal Provider.

Carson B   0 July 20, 2023  

If you are a CHIP Perinate member and need a ride to the doctor’s office, SafeRide Health offers transportation services to medical appointments. 

Phone Reservations: 1-833-694-5881 

Carson B   0 July 20, 2023  

If you and/or your child get sick while you are out of town or out of state, call us toll-free at 1-877-451-5598, and we will help you find a doctor. If you and/or your child have an emergency while you are out of town or out of state, go to the nearest ER and then call us toll-free at 1-877-451-5598. 

Driscoll Health Plan does not cover any care outside of the United States. 

Carson B   0 July 20, 2023  

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.  

Carson B   0 July 20, 2023  

A CHIP Perinate Member is defined as an unborn child. Emergency care is a covered service if it directly relates to the delivery of the unborn child until birth. Emergency care is provided for the following Emergency Medical Conditions: 

  • Medical screening examination to determine emergency when directly related to the delivery of the covered unborn child;
  • Stabilization services related to the labor with the delivery of the covered unborn child;
  • Emergency ground, air, and water transportation for labor and threatened labor is a covered benefit;
  • Emergency ground, air, and water transportation for an emergency associated with (a) miscarriage or (b) a non-viable pregnancy (molar pregnancy, ectopic pregnancy, or a fetus that expired in utero) is a covered benefit.
     

Benefit limits: Post-delivery services or complications resulting in the need for emergency services for the mother of the CHIP Perinate are not a covered benefit. 

Carson B   0 July 20, 2023  

You will need to pick a Primary Care Provider for your newborn baby. The Primary Care Provider is the doctor who takes care of your baby’s medical needs. This includes all checkups and vaccines (immunizations). You can pick your childs Primary Care Provider before he or she is born if you would like. If needed, you can change your babys Primary Care Provider later. If you do not pick a Primary Care Provider for your baby, DHP will pick one for you. 

Carson B   0 July 20, 2023  

Your Perinatal Provider can be a doctor, a health clinic, a Federally Qualified Health Center (FQHC), or a Rural Health Clinic (RHC) that is contracted with DHP to provide pregnancy services.  

Carson B   0 July 20, 2023  

If you have 16 weeks or less remaining before the expected delivery date of your baby, you can stay with your current doctor until after your postpartum checkup, even if the doctor is, or becomes, out of network. Otherwise, you will need to pick a Perinatal Provider that is in DHPs network. 

Carson B   0 July 20, 2023  

You should be able to get an appointment for routine care within two weeks. If you have had problems with previous pregnancies, or if you are more than seven months pregnant, you should be given an appointment within five days of the request.

Carson B   0 July 20, 2023  

You can change your Perinatal Provider by calling Member Services at 1-877-451-5598.  

Carson B   0 July 20, 2023  

You may choose a Perinatal Provider from the DHP Provider Directory or you can get help picking a Perinatal Provider by calling Driscoll Health Plan Member Services at 1-877-451-5598. 

If you go to a Provider that is not in DHP's network, you might have to pay the bill. 

Carson B   0 July 20, 2023  

You must take your DHP ID Card. Bring a list of medicines you are taking, including any herbal supplements. A list of health concerns. Medical records if you are a new patient. 

Carson B   0 July 20, 2023  
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