CHIP Perinate

As a Cook Children’s Health Plan Member, you are eligible for these Value Added Services:

24/7 Nurse Help Line

Registered nurses are available 24 hours a day, 7 days a week to offer you advice with symptoms, understand doctor’s instructions, and recommendations for treatment.

How to access:

Members may call 1-866-971-2665.

Non Emergency Medical Transportation

Additional riders if the Member or LAR cannot make other arrangements
Four (4) coordinated rides (one round trip per quarter) through Transportation Vendor to address Social Determinants of Health needs, for example: Scheduled appointments at WIC offices, CCHP scheduled Member events/classes, MAG meetings, GED classes or continued education, Community Resource Centers for food, clothing, TX Workforce Commission, job interviews, grocery stores and other types of assistance.
Transportation to and from covered medical appointments, including 2 postpartum visits.

How to access:

Service will be provided by Access 2 Care (844) 572-8195

Requirements/Restrictions/Limitations:

48 hours advance notice is required

Extra Help for Pest Control

$50 per year for pest control services for CHIP Members enrolled in the asthma disease management program and/or in service coordination.

How to access:

Form must be completed. You can either:

Complete your form on the member portal or
Download the form and submit to Cook Children’s Health Plan by
Mail:

Attention: Healthy Me Rewards
Cook Children’s Health Plan
PO Box 2488
Fort Worth, TX 76113-2488

Email: CCHPCustomerSvc@cookchildrens.org

Fax: 682-885-8401

Requirements/Restrictions/Limitations:

Member must be enrolled in Asthma Disease Program and/or Service Coordination
Member must provide proof of payment.

Diabetes Prevention Class

The diabetes Prevention Program is a full year program for Members age 18 and up with trained coach to learn and maintain healthy lifestyle through cooking lessons, exercise, and nutrition seminars.

How to access:

Member must register at the YMCA Arlington Mansfield location:

7120 S. Cooper St

Arlington, TX 76001

Requirements/Restrictions/Limitations:

Member must have A1C score levels 5.7 to 6.4

Dental Services

Up to $350 for basic and major dental services for CHIP Perinate Members who are enrolled in the Cook Children's Health Plan Baby Steps program.

How to access:

Services will be covered by Liberty Dental 1-888-902-0349

Requirements/Restrictions/Limitations:

Must be enrolled in Pregnancy Medicaid and Baby Steps Program.
Does not cover orthodontia or cosmetic services.
Members must use in-network providers

Over-the-Counter Benefits

$30 gift card per household for over-the counter products every three months for CHIP Perinate members, upon request. Items include but are not limited to:

Pain and Fever reducers
Allergy sprays and gels o Cold and Flu products
First Aid Supplies
Thermometers
Acid Reducers
Cough drops and
Eye drops

*Excluding CHIP covered benefits.

How to access:

Form must be completed. You can either:

Complete your form on the member portal or
Download the form and submit to Cook Children’s Health Plan by mail:
Cook Children’s Health Plan
Attention: Healthy Me Rewards
PO Box 2488
Fort Worth, TX 76113-2488
Email: CCHPCustomerSvc@cookchildrens.org
Fax: 682-885-8401

Requirements/Restrictions/Limitations:

Excludes Medicaid covered products

Discount on over-the-counter products

15% discount on over-the-counter products purchased at Cook Children’s Pharmacy. Items include but are not limited to:

- Pain and Fever reducers
- Allergy sprays and gels
- Cold and Flu products
- First Aid Supplies
- Thermometers
- Acid Reducers
- Cough drops and
- Eye drops

*Excluding CHIP covered benefits.

How to access:

Members must present CCHP ID card at time of purchase.

Requirements/Restrictions/Limitations:

Discount excludes Medicaid covered products.

Discount on Prescription Medication

Up to 80% discount on prescription medications for family members who do not have Medicaid or CHIP, upon request:

How to access:

New Members receive discount card in Welcome Packet.
Member Services will mail the RX Savings card to existing Members upon request.

Extra Help for Pregnant Women

Up to $100 for prepared childbirth, breast-feeding, or parenting classes per pregnancy. May be on-line or in person.

How to access:

Please submit proof of payment through the member portal or email to CCHPCustomerSvc@cookchildrens.org

Requirements/Restrictions/Limitations:

Proof of payment is required.

Gift Card Rewards

$25 gift card for pregnant women for attending their first prenatal visit within 1st trimester or 42 days of enrollment.
$25 gift card for pregnant women for attending their 3rd prenatal visit.
$25 gift card for pregnant women for attending their 6th prenatal visit.
$25 gift card for pregnant women for attending their 9th prenatal visit.

How to access:

Form must be completed. You can either:

Complete your form on the member portal or
Download the form and submit to Cook Children’s Health Plan by
Mail:

Attention: Healthy Me Rewards
Cook Children’s Health Plan
PO Box 2488
Fort Worth, TX 76113-2488

Email: CCHPCustomerSvc@cookchildrens.org

Fax: 682-885-8401

Gift Card Rewards - Postpartum Visits

A $50 gift card for postnatal members who complete a postpartum visit with an approved provider between 7-84 days after delivery.

How to access:

Form must be completed. You can either:

Complete your form on the member portal or
Download the form and submit to Cook Children’s Health Plan by
Mail:

Attention: Healthy Me Rewards
Cook Children’s Health Plan
PO Box 2488
Fort Worth, TX 76113-2488

Email: CCHPCustomerSvc@cookchildrens.org

Fax: 682-885-8401

Car Seat Class

Car seat class for mothers of Members under the age of 1 year. A free car seat will be given after completion of the class.

How to access:

Please register on www.freecarseatcheck.org

Requirements/Restrictions/Limitations:

Member should be pregnant or have a child under 1 year of age.

Safe Baby Sleep Class

Safe Baby Sleep class for Parents/Guardian of Member under age 1 year. A pack-n-play will be distributed for those who attend and complete the class.

How to access:

Please register at https://www.safebabysleep.org/

Requirements/Restrictions/Limitations:

Member should be pregnant or have a child under 1 year of age.

Groceries/Prepared Meals for Pregnant Women

$50 box of groceries or prepared meals for pregnant women.

How to access:

Please contact Service Coordination to complete Initial Health Needs Screening at 1-800-964-2247

Requirements/Restrictions/Limitations:

Member must complete Initial Health Needs Screening within 30 days of becoming a CCHP Member.

Healthy Groceries/Prepared Meals for Women with High Risk Pregnancy

$50 box of healthy grocery or prepared meals (1 box per month for up to 5 months).

How to access:

Please contact Service Coordination at 1-800-964-2247

Requirements/Restrictions/Limitations:

Member must be enrolled in Service Coordination with High Risk Pregnancy.

Well Child Checkup Gift Card Rewards

$25 gift card for members completing a checkup at 2 weeks of age.
$25 gift card for members completing a checkup at 2 months of age.
$25 gift card for members completing a checkup at 4 months of age.
$25 gift card for members completing a checkup at 6 months of age.
$25 gift card for members completing a checkup at 9 months of age.
$25 gift card for members completing a checkup at 12 months of age.
$25 gift card for members completing a checkup at 15 months of age.
$25 gift card for members completing a checkup at 18 months of age.

How to access:

Form must be completed. You can either:

Complete your form on the member portal or
Download the form and submit to Cook Children’s Health Plan by
Mail:

Attention: Healthy Me Rewards
Cook Children’s Health Plan
PO Box 2488
Fort Worth, TX 76113-2488

Email: CCHPCustomerSvc@cookchildrens.org

Fax: 682-885-8401

Extra Help for School Supplies

$50 one-time gift card for school supplies when member completes required Meningococcal, TDAP, and HPV immunizations.

How to access:

Form must be completed. You can either:

Complete your form on the member portal or
Download the form and submit to Cook Children’s Health Plan by
Mail:

Attention: Healthy Me Rewards
Cook Children’s Health Plan
PO Box 2488
Fort Worth, TX 76113-2488

Email: CCHPCustomerSvc@cookchildrens.org

Fax: 682-885-8401

Requirements/Restrictions/Limitations:

Member must be ages 9 to 13 years
Member must be enrolled with CCHP for a minimum of 6 months

Bathtub Kneeling Pad

CCHP will provide a one-time bathtub kneeling pad.

How to access:

Please contact Member Services at 1-800-964-2247 to request.

Requirements/Restrictions/Limitations:

One pad per household
Members must be between 0 months to 3 years of age.

GED Reimbursement

Up to $40 reimbursement for one-time GED testing fee.

How to access:

Form must be completed. You can either:

Complete your form on the member portal or
Download the form and submit to Cook Children’s Health Plan by
Mail:

Attention: Healthy Me Rewards
Cook Children’s Health Plan
PO Box 2488
Fort Worth, TX 76113-2488

Email: CCHPCustomerSvc@cookchildrens.org

Fax: 682-885-8401

Requirements/Restrictions/Limitations:

Members must be 17 years and over

Proof of payment can be submitted through the member portal or emailed to CCHPCustomerSvc@cookchildrens.org

Extra Help for Utilities Set Up Fees

$50 towards utilities set up fees (water, gas, or electricity)

How to access:

Form must be completed. You can either:

Complete your form on the member portal or
Download the form and submit to Cook Children’s Health Plan by
Mail:

Attention: Healthy Me Rewards
Cook Children’s Health Plan
PO Box 2488
Fort Worth, TX 76113-2488

Email: CCHPCustomerSvc@cookchildrens.org

Fax: 682-885-8401

Requirements/Restrictions/Limitations:

One household per family for members who complete the Initial Health Needs Screening (IHNS).
Each member within a household must complete the IHNS within 30 days of enrollment.
Proof of payment is required. You may submit through the member portal or email to CCHPCustomerSvc@cookchildrens.org

Extra Help for Housing Deposit Fee

$125 towards housing deposit fee for house, apartment or hotel for one household per family for members who complete the Initial Health Needs Screening (IHNS). Each member within a household must complete the IHNS within 30 days of enrollment.

How to access:

Form must be completed. You can either:

Complete your form on the member portal or
Download the form and submit to Cook Children’s Health Plan by
Mail:

Attention: Healthy Me Rewards
Cook Children’s Health Plan
PO Box 2488
Fort Worth, TX 76113-2488

Email: CCHPCustomerSvc@cookchildrens.org

Fax: 682-885-8401

Requirements/Restrictions/Limitations:

Each member within a household must complete the IHNS within 30 days of enrollment.
Proof of payment is required. You may submit through the member portal or email to CCHPCustomerSvc@cookchildrens.org

Dental Cleaning Gift Card Reward

$10 gift card for completing 1 dental cleaning annually.

How to access:

Form must be completed. You can either:

Complete your form on the member portal or
Download the form and submit to Cook Children’s Health Plan by
Mail:

Attention: Healthy Me Rewards
Cook Children’s Health Plan
PO Box 2488
Fort Worth, TX 76113-2488

Email: CCHPCustomerSvc@cookchildrens.org

Fax: 682-885-8401

Requirements/Restrictions/Limitations:

Members 4 to 9 years of age
Complete annual dental cleaning
Member will submit proof of dental cleaning visit through the member portal or email to CCHPCustomerSvc@cookchildrens.org

COVID-19 Vaccine/Booster Gift Card Reward

$10 gift card for members ages 6 months and up who receive a COVID-19 vaccine or booster shot. Proof of vaccine required within 30 days of receipt of vaccine.

How to access:

Form must be completed. You can either:

Complete your form on the member portal or
Download the form and submit to Cook Children’s Health Plan by
Mail:

Attention: Healthy Me Rewards
Cook Children’s Health Plan
PO Box 2488
Fort Worth, TX 76113-2488

Email: CCHPCustomerSvc@cookchildrens.org

Fax: 682-885-8401

Requirements/Restrictions/Limitations:

Members ages 6 months and up
Proof of payment is required. You may submit through the member portal or email to CCHPCustomerSvc@cookchildrens.org

HPV Vaccine Gift Card Reward

$25 gift card for Members ages 9-13 years who obtain the HPV vaccine

How to access:

Form must be completed. You can either:

Complete your form on the member portal or
Download the form and submit to Cook Children’s Health Plan by
Mail:

Attention: Healthy Me Rewards
Cook Children’s Health Plan
PO Box 2488
Fort Worth, TX 76113-2488

Email: CCHPCustomerSvc@cookchildrens.org

Fax: 682-885-8401

Extra Help for Diapers and/or Wipes

$50 Gift card used towards the purchase of diapers and/or wipes for members ages 0-2 years

How to access:

Form must be completed. You can either:

Complete your form on the member portal or
Download the form and submit to Cook Children’s Health Plan by
Mail:

Attention: Healthy Me Rewards
Cook Children’s Health Plan
PO Box 2488
Fort Worth, TX 76113-2488

Email: CCHPCustomerSvc@cookchildrens.org

Fax: 682-885-8401

Requirements/Restrictions/Limitations:

Members must be between 0-2 years of age.
Parent/guardian must attend parenting class offered by CCHP.
One per household per year
Member will send screen shot of completed video to member portal or CCHPCustomerSvc@cookchildrens.org

Notary Services Fee

Up to $25 reimbursement per year for Notary Services to certify authorization given to act as LAR for Member. Proof of payment is required within 30 days of service

How to access:

Form must be completed. You can either:

Complete your form on the member portal or
Download the form and submit to Cook Children’s Health Plan by
Mail:

Attention: Healthy Me Rewards
Cook Children’s Health Plan
PO Box 2488
Fort Worth, TX 76113-2488

Email: CCHPCustomerSvc@cookchildrens.org

Fax: 682-885-8401

Requirements/Restrictions/Limitations:

Members must be between 0-2 years of age.
Parent/guardian must attend parenting class offered by CCHP.
One per household per year
Proof of payment is required. You may submit through the member portal or CCHPCustomerSvc@cookchildrens.org

MyCookChildren's Activation

$20 gift card for Members who activate a new MyCookChildren's Member Portal account

How to access:

Form must be completed. You can either:

Complete your form on the member portal or
Download the form and submit to Cook Children’s Health Plan by
Mail:

Attention: Healthy Me Rewards
Cook Children’s Health Plan
PO Box 2488
Fort Worth, TX 76113-2488

Email: CCHPCustomerSvc@cookchildrens.org

Fax: 682-885-8401

Requirements/Restrictions/Limitations:

Must be a new activation
Activation must be after September 1, 2024
One per household per year

Poison Prevention Class

Poison Prevention class for Parents/Guardians of Members. Parents/Guardians that complete the class are eligible to receive one medication lockbox per household.

How to access:

Members can register at www.meddropbox.org.

Requirements/Restrictions/Limitations:

Liability form provided by website is required.

Water Safety Course

Lifeguard Your Child (Water Safety) course for drowning prevention for Parent/Guardian Choice of one gift per member for completion of course from the following: Life jacket, goggles, beach towels, CPR lessons, or a turtle alarm.

How to access:

Members must register at https://centerforchildrenshealth.org/injury-prevention/drowning/Pages/default.aspx

Requirements/Restrictions/Limitations:

For members ages 0-4 years.

Tobacco Cessation Gift Card Reward

$25 gift card per year for Members 13 years and over who enroll and complete a tobacco cessation program.

How to access:

Form must be completed. You can either:

Complete your form on the member portal or
Download the form and submit to Cook Children’s Health Plan by
Mail:

Attention: Healthy Me Rewards
Cook Children’s Health Plan
PO Box 2488
Fort Worth, TX 76113-2488

Email: CCHPCustomerSvc@cookchildrens.org

Fax: 682-885-8401

Requirements/Restrictions/Limitations:

Member must provide proof of completion.

Gun Safety Education

Gun safety education class for Parents/Guardian of Members. Upon completion of class Parent/Guardian is eligible to receive one gun lock per household.

How to access:

Member must register at www.aimforsafety.org

Gift Card Reward for Gynecological Visit

$25 gift card for gynecological visit for females 16 years and older who had cervical cytology, cervical high risk human papilloma virus (hrHPV) testing, cervical cytology/hrHPV co-testing, or chlamydia screening.

How to access:

Form must be completed. You can either:

Complete your form on the member portal or
Download the form and submit to Cook Children’s Health Plan by
Mail:

Attention: Healthy Me Rewards
Cook Children’s Health Plan
PO Box 2488
Fort Worth, TX 76113-2488

Email: CCHPCustomerSvc@cookchildrens.org

Fax: 682-885-8401

Requirements/Restrictions/Limitations:

Members must be 16 years of age and older
Eligible every 12 months

Virtual Education Session Rewards

$25 gift card for members who attend 3 Cook Children’s Health Plan virtual education sessions

How to access:

Form must be completed. You can either:

Complete your form on the member portal or
Download the form and submit to Cook Children’s Health Plan by
Mail:

Attention: Healthy Me Rewards
Cook Children’s Health Plan
PO Box 2488
Fort Worth, TX 76113-2488

Email: CCHPCustomerSvc@cookchildrens.org

Fax: 682-885-8401

Requirements/Restrictions/Limitations:

VAS can be requested twice per year.
Screenshot of completed video must be sent in through mycookchildrens.org or emailed to CCHPCustomerSvc@cookchildrens.org

YMCA Membership

YMCA Family (Up to 2 adults + all dependents) Membership for 30 days at no cost.

How to access:

Member must register at the YMCA Arlington Mansfield location:
7120 S. Cooper St
Arlington, TX 76001
(817) 419-9629

Boys and Girls Club

Access to the Boys and Girls club where available, at no cost to Members 6 to 18 years of age.

How to access:

Member must present CCHP ID card to register.
To find a location: https://bgcgtc.org/
Members can call the main line to register or for any questions, call 817-834-4711.
Members must be between 6-18 years of age.

Requirements/Restrictions/Limitations:

Member must be mobile

Extracurricular Activities

$30 gift card for Members ages 12 to 18 per school year for participating in an extracurricular activity, school sport or school club. Proof of participation is required..

How to access:

Form must be completed. You can either:

Complete your form on the member portal or
Download the form and submit to Cook Children’s Health Plan by
Mail:

Attention: Healthy Me Rewards
Cook Children’s Health Plan
PO Box 2488
Fort Worth, TX 76113-2488

Email: CCHPCustomerSvc@cookchildrens.org

Fax: 682-885-8401

Requirements/Restrictions/Limitations:

One activity per school year
Proof of participation is required

Blood Pressure Self Monitoring Program

Four month program that includes personalized consultations and nutrition seminars with a Healthy Heart Ambassador.

How to access:

Member must register at the YMCA Arlington Mansfield location.

Requirements/Restrictions/Limitations:

Own a valid cell phone

Lifestyle change program

16 week program for child and caregiver to address childhood obesity. The program focuses on healthy eating, regular physical activity and behavior change to empower children to live a healthier and active lifestyle.

How to access:

Member must register at the YMCA Arlington Mansfield location.

Requirements/Restrictions/Limitations:

Member must be between 7 to 13 years of age.

Extra Help for Members Diagnosed with Asthma

Up to $100 per year for CHIP Members with an asthma diagnosis and enrolled in the asthma disease management program for:
- Pillow covers/mattress covers
- Vent cleaning
- Deep carpet cleaning
- One peak flow meter and holding chamber or spacer.

How to access:

Proof of payment can be submitted through the member portal or emailed to CCHPCustomerSvc@cookchildrens.org

Requirements/Restrictions/Limitations:

Member must be enrolled in Asthma Disease Program.
Member must provide proof of payment.

Temporary Phone Help

Reimbursement for up to $25 per quarter for additional data for Members who qualify for the federal lifeline program.

How to access:

Proof of payment can be submitted through the member portal or emailed to CCHPCustomerSvc@cookchildrens.org

Requirements/Restrictions/Limitations:

Member must qualify for Federal Lifeline Program.
Member must submit proof of payment.

Extra Help for Members Diagnosed with Alcohol or Drug Abuse (AOD)

$50 gift card for Members 13 years of age and older who have a diagnosis of Alcohol or Drug Abuse (AOD) or dependency and receive treatment through an inpatient AOD admission, outpatient visits, intensive outpatient encounter or partial hospitalization, within 14 days of diagnosis.

How to access:

Form must be completed. You can either:

Complete your form on the member portal or
Download the form and submit to Cook Children’s Health Plan by
Mail:

Attention: Healthy Me Rewards
Cook Children’s Health Plan
PO Box 2488
Fort Worth, TX 76113-2488

Email: CCHPCustomerSvc@cookchildrens.org

Fax: 682-885-8401

Requirements/Restrictions/Limitations:

Limit one per year.
Proof of diagnosis date (After Visit Summary is acceptable)

Behavioral Health Follow-up Visit Reward

$50 gift card for Members who complete a follow-up visit with their Behavioral Health Provider.

How to access:

Form must be completed. You can either:

Complete your form on the member portal or
Download the form and submit to Cook Children’s Health Plan by
Mail:

Attention: Healthy Me Rewards
Cook Children’s Health Plan
PO Box 2488
Fort Worth, TX 76113-2488

Email: CCHPCustomerSvc@cookchildrens.org

Fax: 682-885-8401

Requirements/Restrictions/Limitations:

Follow up visit must be within 7 days of leaving the Behavioral Health Facility.

Online Resources

Online support service to guide members through resources and health education

How to access:

You may access Ovia+Health through the myCookChildren's member portal.

There are some limits to these Value Added Services. Please call Member Services to find out what they are.

To find information on your benefits and services, read your Member handbook.

CHIP Perinate

As a Cook Children’s Health Plan Member, you are eligible for these Value Added Services:

24/7 Nurse Help Line

24/7 Nurse Help Line

How to access:

Extra Help Getting a Ride

Non Emergency Medical Transportation

How to access:

Requirements/Restrictions/Limitations:

Disease Management

Extra Help for Pest Control

How to access:

Requirements/Restrictions/Limitations:

Diabetes Prevention Class

How to access:

Requirements/Restrictions/Limitations:

Dental Services

Dental Services

How to access:

Requirements/Restrictions/Limitations:

Discount Pharmacy/Over the Counter Benefits

Over-the-Counter Benefits

How to access:

Requirements/Restrictions/Limitations:

Discount on over-the-counter products

How to access:

Requirements/Restrictions/Limitations:

Discount on Prescription Medication

How to access:

Extra Help for Pregnant Women

Extra Help for Pregnant Women

How to access:

Requirements/Restrictions/Limitations:

Gift Card Rewards

How to access:

Gift Card Rewards - Postpartum Visits

How to access:

Car Seat Class

How to access:

Requirements/Restrictions/Limitations:

Safe Baby Sleep Class

How to access:

Requirements/Restrictions/Limitations:

Groceries/Prepared Meals for Pregnant Women

How to access:

Requirements/Restrictions/Limitations:

Healthy Groceries/Prepared Meals for Women with High Risk Pregnancy

How to access:

Requirements/Restrictions/Limitations:

Gift Programs

Well Child Checkup Gift Card Rewards

How to access:

Extra Help for School Supplies

How to access:

Requirements/Restrictions/Limitations:

Bathtub Kneeling Pad

How to access:

Requirements/Restrictions/Limitations:

GED Reimbursement

How to access:

Requirements/Restrictions/Limitations:

Extra Help for Utilities Set Up Fees

How to access:

Requirements/Restrictions/Limitations:

Extra Help for Housing Deposit Fee

How to access:

Requirements/Restrictions/Limitations:

Dental Cleaning Gift Card Reward

How to access:

Requirements/Restrictions/Limitations:

COVID-19 Vaccine/Booster Gift Card Reward

How to access:

Requirements/Restrictions/Limitations:

HPV Vaccine Gift Card Reward

How to access:

Extra Help for Diapers and/or Wipes

How to access:

Requirements/Restrictions/Limitations:

Notary Services Fee

How to access: