Provider Services

Contracting and Credentialing Department Representatives can be reached during the hours of

8:00 a.m.– 5:00 p.m.
Mountain Time
Monday thru Friday

Are you a Provider with Questions? Call Us.

Health care professionals can get answers quickly to questions by contacting our Contracting and Credentialing Department. We can answer questions about:

  • Changes in address locations
  • Name changes
  • Billing company changes
  • NPI/TPI updates
  • Phone and fax updates, etc.
Contracting and Credentialing Department

Join El Paso Health's
Network

Health care professionals and support staff can register for portal access or view our Access and New Registration guide for step-by-step instructions.
Start Here

Texas Health Steps Information for Providers

El Paso Health promotes the Texas Health Steps program by focusing on the medical and case management services for ages birth through 20.
Learn More

Provider Resources

You can find all the necessary forms, manuals, documents and links all in one place.
  • Provider Forms
  • Provider Manuals & Directories
  • Member Handbooks
  • Other Provider Resources
Provider Materials Page

Join EPH's Newsletter

El Paso Health sends a quarterly email to providers keeping them up to date on:
  • Provider Trainings and Orientations
  • El Paso Health Policy Updates
  • Weekly Memorandums
  • Provider Updates

El Paso Health Case Management Program

Our Case Management Program page provides detailed information and contact phone numbers for members needing help managing their health.

Health and Human Services Commission (HHSC) Updates

This section is intended for El Paso Health Network Providers to obtain related information and resources from HHSC. Please continue to visit the TMHP website for provider notifications and guidance.

If you need further assistance, please contact the El Paso Health Provider Relations Department or visit https://www.elpasohealth.com/providers/hhsc-updates.

STAR/CHIP
915-532-3778

STAR+PLUS
1-833-742-3127

What's New

April 14, 2025
EPH - Behavioral Health Provider Specialty Training Invite
Read More
April 7, 2025
Electronic Funds Transfer (EFT) Fraud Scheme
Read More
April 4, 2025
Vaccine Recommendations in the Context of Local Outbreak
Read More

Provider Quality Information

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Prior Authorizations
El Paso Health may require authorization for certain services.The Prior Authorization tool can help you determine if a specific service requires a prior authorization. For more information, please visit https://www.elpasohealth.com/providers/prior-authorization.html

Prior authorization is based on information provided to El Paso Health at the time of request, it does not guarantee payment of benefits nor verify eligibility and is subject to all terms, conditions, limitations, and exclusions related to the member’s eligibility and subsequent medical review.

Regardless of prior authorization status, medical decisions concerning a course of treatment are solely between the physician and the patient.
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Provider Relations Contact Information
If you have questions or need assistance, contact the Provider Relations Department at:

ProviderServicesDG@elpasohealth.com

915-532-3778

Toll- Free:
STAR: 1-877-532-3778
CHIP: 1-877-532-3778
DSNP: 1-833-742-3125
MAPD: 1-833-742-2121
STAR+PLUS: 1-833-742-3127

Our customer service hours are Monday through Friday between 8:00am and 5:00 pm MST.
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Provider Complaints
If you have a complaint, you can submit it to the El Paso Health Provider Care Unit at 915-532-3778 or toll free at 1-877-532-3778. You can also send us an email at Complaints&AppealsTeam@elpasohealth.com or send us a fax at 915-298-7872.

The HHSC mailbox for provider complaints is: HPM_Complaints@hhsc.state.tx.us.

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Nursing Facility Unit Rates
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Provider Appeals
Providers can submit a claim appeal by contacting us at:
Phone: 915-532-3778 or toll free at 1-877-532-3778
Email: Complaints&AppealsTeam@elpasohealth.com
Fax: 915-298-7872

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Provider Overpayments
In the event a Provider becomes aware of an overpayment prompt notification shall be reported to El Paso Health. Overpayments shall be returned within 60 days from date of reporting.  El Paso Health will proceed to recover the balance through future claim payments.

Provider Overpayment Reporting tab, email Provider_Overpayments@elpasohealth.com

or contact the Provider Relations at 915-532-3778 or toll free 1-877-532-3778.

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Provider Advisory Group
Provider Advisory Group discussion is held on a quarterly basis via the Utilization Management Committee Meeting. The provider panel provides guidance for enhancements to maintain and continually improve El Paso Health’s service to the provider network, and to ensure provider satisfaction with health plan processes. To participate in the Provider Advisory Group, please call us at 1-877-532-3778.

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How to Provide Cultural Sensitive Care
Proficiency in cultural competency is demonstrated when Providers acknowledge a Member’s point of view of his/her healthcare and integrate that awareness in the delivery of medical services. El Paso Health facilitates Provider orientation sessions to promote our Cultural Competency Plan and educate network Providers about culturally competent services to avoid disparities in the delivery of medical services to the diverse populations of the El Paso SDA.

By contractual agreement, all Network Providers are required to adhere to the standards of the Americans with Disabilities Act (ADA). Our Provider Relations Representatives conduct credentialing site visits as well as quarterly visits to Primary Care Providers, Obstetricians and Behavioral Health Providers, and annual visits to all other specialists, to ensure Providers’ locations are accessible to Members with disabilities. El Paso Health’s Cultural Competency Plan is made available to El Paso Health Network Providers in written form, when requested. Our Provider Manual includes a section on cultural competency.

Cultural Competency Training

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