Contact Information:
Claim Appeals may be submitted via:
You may also submit your Claim Appeal by mail:
Claims Administration
PO Box 3668
Corpus Christi, TX 78463
Contact Information
Driscoll Health Plan
ATTN: Performance Excellence Team
4525 Ayers Street
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
Once you have gone through the Driscoll Complaint Process, and you are not pleased with the 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
Health Plan Operations – H-320
ATTN: Resolution Services
P.O. Box 85200
Austin, TX 78708-5200
If you can get on the internet, you can send your complaint in an email to HPM_Complaints@hhsc.state.tx.us
Member Term from PCP Panel Form
Primary Care Provider (PCP) Change Form
Pediatric Sleep Study & Home Sleep Study
Driscoll Health Plan-Therapy Guide
Request to Credential New Provider to Existing Group
Provider Relations Contact Information
Texas Standardized Credentialing Application
Texas Standardized Credentialing Application Addendum
Expedited Credentialing Request
Member Rights and Responsibilities
Texas Medicaid & Healthcare Partnership
Texas Health and Human Services Commission
Texas Medicaid and CHIP Vendor Drug Program
Texas Health Steps Provider Information
Texas Standard Prior Authorization Request Form for Health Care Services
Texas Standard Prior Authorization Request Form for Prescription Drug Benefits
Fax Blast-External Medical Review (EMR)
Fax Blast-Provider Portal Quick Start Guide for Creating an Authorization Fax Blast-External Medical Review (EMR)
TMPPM Children Services Handbook Volume 2, Section 2.3, Medicaid Autism Services Policy
TMHP Provider Enrollment and Management System (PEMS) – Effective 12.13.21
Alert: EVV Tool Kit – Module 2 Now Available
Implementation of the AIM Program begins in Texas
New Systems, new information, a new way of looking at care
Spring is here, and bringing CME opportunities
Benefits for prevention of Zika to become permanently covered
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 and not just the medical condition. Sensitivity to differing 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.
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 the beliefs, and cultural and linguistic needs of diverse patients 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.
At Driscoll Health Plan, we value your opinion. For meeting times, dates and locations, please contact Cindy McMahon at 361-694-4881 or Cindy.McMahon@dchstx.org.