Member

Member Services

We are available:

Monday through Friday during regular business hours 7:00 a.m. to 5:00 p.m.

Mountain Time, excluding state approved holidays.
Call center hours of operation are 8 a.m. to 5 p.m.

Our staff consists of highly qualified and trained individuals, fluent in both English and Spanish.

If you call after regular business, weekend, and holiday hours, El Paso Health will still answer your phone call.

TTY Line for the Hearing Impaired, our toll-free TTY phone number is 1-855-532-3740 or 915-532-3740.

Interpreter services are available.  We also have interpreters who know sign language.  Let us know at least two days before your doctor’s visit if you need this service.

If your Medicaid ID card is lost or stolen, you can get a new one by calling us at 915-532-3778 or toll-free 1-877-532-3778.

You can also reach us by email at member@elpasohealth.com.

Covered Services

We can explain what services are covered, and help you get the services you need.  We can:

  • Help you choose or change a Primary Care Provider for your child
  • We will transfer you to 211 to change your address or phone number
  • Explain how to get transportation services
  • Act as your advocate and listen to your complaints and concerns
  • Tell you about classes, health fairs, and other special events in your area

 

 

NEW: NEMT Services Effective 6/1/21

Transportation to Medicaid Services

You or your child may be able to get free transportation to and from the doctor, dentist, hospital, drugstore or other providers of Medicaid services.

If you or your child need a ride to an appointment, Access2Care, an El Paso Health Partner, may be able to help you with:

  • Public transportation, like the city bus.
  • Money to purchase gas.
  • A taxi or van service.
  • Commercial transit, like a bus or plane, to go to another city for an appointment.

How to request a ride:

Call Access2Care toll-free at 1-844-572-8196 at least two workdays before your appointment or five days before the appointment if it is outside your county. Phones are answered 24 hours a day, 7 days a week, 365 days a year.

When requesting a ride, make sure to have the following information:

  • Medicaid ID number for the person with the appointment.
  • Address and phone number of your pickup location.
  • Address and phone number of your appointment location.
  • Name of the medical professional you or your child will be seeing.
  • Date and time of the appointment.
  • Any unique needs you may have, like using a wheelchair or walker, so the right vehicle can be sent.

You may also be asked for more information about the appointment.

Prior Authorization

Some services that are ordered by your doctor or specialist will require a decision by El Paso Health before you receive them. This approval is called a prior authorization.  For information on services that require prior authorization please call El Paso Health Member Services at 915-532-3778 or 1-877-532-3778. We are available Monday through Friday from 7:00 a.m. to 5:00 p.m. MST (excluding holidays).

To learn more about the Prior Authorization process, click here Prior Authorization – El Paso Health

Do you have an emergency?

In case of emergency call 911 or go to the closest emergency room.  After treatment, call your Primary Care Provider within 24 hours or as soon as possible

When people who are not in serious danger go to an emergency room, they often have to wait a long time for treatment. In most cases they can get the treatment they need more quickly at their doctor’s office or at one of El Paso Health’s Night Clinics. Visit our list of Night Clinics here or call us at  915-532-3778 or toll-free 1-877-532-3778.

Member Advisory Group

El Paso Health has established and conducts quarterly Member Advisory Group meetings. El Paso Health invites Members to attend and involves Member Advocates to participate and interact with Members. To participate in the Member Advisory Group, please call us at 1-877-532-3778.