Medicaid Appeals Process and Fair Hearing Process
Medicaid Members click here to learn more.

Medicaid Complaint Process
Medicaid Members click here to learn more.

CHIP Appeals Process
CHIP Members click here to learn more.  

CHIP Complaint Process
CHIP Members click here to learn more.

Fair Hearing Contact Information for STAR Members
If you, as a member of the health plan, disagree with the health plan’s decision, you have the right to ask for a state fair hearing. You or your representative can call El Paso Health at 915-532-3378 or toll free at 1-877-532-3778. A Member Services Representative will be able to assist you on how to request an appeal.

You can learn more about the Fair Hearing Process here.

How to file a complaint.
If you receive benefits through Medicaid, STAR+PLUS, STAR Health, or STAR Kids program, call your medical or dental plan first. If you don’t get the help you need there, you should do one of the following:

  1. Call Medicaid Managed Care Helpline at 1-866-566-8989 (toll free).
  2. Online: Online Submission Form (only works in Internet Explorer)
  3. Mail: Texas Health and Human Services Commission

Office of the Ombudsman, MC H-700
P.O. Box 13247
Austin, TX 78711-3247
Fax: 1-888-780-8099 (Toll-Free)