We have staff that speaks English and Spanish. We can also help you if you need assistance in understanding or reading any of our handbooks or directories. Please let us know if you require any of our materials in larger print, Braille, or audio. Cook Children’s offers interpreter services at no cost to you if the provider does not have someone to interpret for you. Call our Member Services Department at 1-800-964-2247 (TTY/TDD for hearing impaired: 7-1-1 or 1-800-735-2988) to schedule an interpreter and we will let your provider know who that person will be.
Cook Children's Health Plan offers quality health care plans that you can afford for the whole family. The CHIP, STAR, and STAR Kids programs allow you to choose from many doctors, clinics, hospitals, and specialty services.
Our website contains several different resources for our members. One specifically is to help provide financial literacy information through the Texas Office of Consumer Credit Commissioner's website.
We are part of the Inspector General Integrity Initiative and have pledged to partner with the Inspector General to fight fraud, waste and abuse in Texas' Medicaid program. Learn more at the Inspector General website.
State Fair Hearing
If you, as a member of the health plan, disagree with the health plan’s decision, you have the right to ask for a fair hearing. You may name someone to represent you by writing a letter to the health plan telling them the name of the person you want to represent you. A doctor or other medical provider may be your representative.
If you want to challenge a decision made by your health plan, you or your representative must ask for the fair hearing within 120 days of the date on the health plan’s letter with the decision. If you do not ask for the fair hearing within 120 days, you may lose your right to a fair hearing. To ask for a fair hearing, you or your representative should either send a letter to the health plan at:
Cook Children's Health Plan
Attn: Member Services
P. O. Box 2488
Fort Worth, TX 76113-2488 or call 1-800-964-2247.
You have the right to keep getting any service the health plan denied or reduced, at least until the final hearing decision is made if you ask for a fair hearing by the later of: (1) 10 business days following Cook Children’s Health Plan’s mailing of the notice of the action adverse benefit determination.
If you ask for a fair hearing, you will get a packet of information letting you know the date, time and location of the hearing. Most fair hearings are held by telephone. At that time, you or your representative can tell why you need the service the health plan denied. HHSC will give you a final decision within 90 days from the date you asked for the hearing.
You may also call us at 1-800-964-2247 to ask for status. You can also find this information on page 45 within the STAR Member Handbook. If you would like a printed handbook, please call Member Services to request one. A handbook will be mailed within 5 business days, at no charge.