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
Member Services: 1-877-324-7543


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


STAR Frequently Asked Questions

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. 

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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. 

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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.

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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. 

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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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