Important Information, Alternate Formats, and toll free numbers

telephone

Member Services

STAR, STAR+PLUS & CHIP: 8:00 a.m. - 5:00 p.m. local time, Monday to Friday (866) 449-6849

CHIP Rural Service Area (RSA) (CHIP including CHIP Perinatal): 8:00 a.m. - 5:00 p.m. local time, Monday to Friday (877) 319-6826

Health Insurance Marketplace: 8:00 a.m. - 5:00 p.m. local time, Monday to Friday (888) 560-2025

Medicare: 8:00 a.m.- 8:00 p.m., 7 days a week, local time (866) 440-0012

For After Hours and Weekend Coverage: Call Member Services and leave a message. Your call will be returned by the next business day.

Molina Dual Options STAR+PLUS MMP: 8:00 a.m. - 8:00 p.m. local time, Monday to Friday (866) 856-8699 *Assistive technologies, including self-service and voicemail options are available on holidays, after regular business hours and on Saturdays and Sundays.

Molina Medicare-Medicaid STAR+PLUS Plan: 8:00 a.m. - 8:00 p.m. local time, Monday to Friday (866) 856-8699 *Assistive technologies, including self-service and voicemail options are available on holidays, after regular business hours and on Saturdays and Sundays.

TTY/TDD: 711

Information in other formats

Information is available in English, Spanish, and other alternate formats, such as large print, Braille, or audio. To ask for alternate formats or for assistance with interpretive services, call Member Services.

Getting Services

Your Primary Care Physician (PCP) will help you get most of your covered services. If they cannot provide you a service, they will send you to a doctor who can. If you need help finding a doctor, call Member Services.

In case of an emergency dial 911, or go to the nearest Emergency Room.

NEMT Services and Where's my Ride Hotline

If you are a Medicaid member, you can contact Access2Care, 24 hours a day, 7 days a week to schedule non-emergency transportation services for health care appointments. These trips include rides to the doctor, dentist, hospital, pharmacy, and other places you get Medicaid services. These trips do not include ambulance trips. Call one of the numbers below to schedule a ride or to access the Where's My Ride hotline (select option 2):

  • Medicaid (STAR, STAR+PLUS): (866) 462-4857
  • Molina Dual Options STAR+PLUS MMP (866) 462-4856
  • Molina Medicare-Medicaid STAR+PLUS Plan: (888) 894-7661

Member Services is also available to assist you in accessing NEMT Services at (866) 449-6849, from 8a.m. to 6p.m., central time, Monday to Friday, TTY: 711. We can help you in English and Spanish. We also have interpreter service agents that can help with any other language.

Make sure to call at least 48 hours before your appointment. You may be asked for information about the appointment. Be sure you have the following information ready:

  • 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 doctor you or your child will be seeing
  • Date and time of the appointment
  • Any unique needs you may have such as using a wheelchair or walker, so the right vehicle can be sent

Transportation for members in a Nursing Facility is only covered when traveling to and from a dialysis appointment or when discharging from a Nursing Facility to a lower level of care or home setting.

Service Coordination

For information about special services to help you manage your health, such as Long Term Services and Supports and Behavioral Health, call: (866) 409-0039

Provider Services

Providers may contact Molina Provider Services to obtain information regarding Claims, Complaints and Appeals, Member Eligibility, Benefits, Utilization Management, Quality Improvement, Prior Authorizations and Referrals.

Provider Services/Relations, 8:00 a.m. - 5:00 p.m., Monday to Friday: (855) 322-4080

Provider Services/Relations(Medicare) 8:00 a.m. - 8:00 p.m., Monday to Friday (866) 440-0012

e-mail: MHTXProviderServices@MolinaHealthcare.com

For After Hours and Weekend Coverage: Call Member Services and leave a message. Your call will be returned by the next business day.

Behavioral Health Services

Molina Member Services: (866) 449-6849

Behavioral Health Services Toll-Free Hotline
(Includes mental health and substance use treatment) Bexar, Dallas, El Paso, Harris, Hidalgo, Jefferson, MRSA NE and Tarrant Service Areas: (800) 818-5837

We can help you in English and Spanish. Interpreter service will be used for any other language.

Members who are deaf or have a hard time hearing can call the Relay Texas TTY:
(800)735-2989 or dial 711 (English)
(800) 662-4954 (Spanish)

If you are in a critical or emergency situation, go to an emergency room that is close to
where you are.

  • Behavioral Health Service employees are ready to help you 24 hours a day, 7 days a week.
  • You do not need to ask your doctor to get behavioral health services.
  • You can call Member services and they can help you find a doctor, counselor, or other behavioral health (mental health or substance use treatment) provider that best meets your needs.
  • Service Coordination is a special service for STAR+PLUS members to help you manage your health, long- term service and supports and behavioral health care needs. You can contact your Service Coordinator by phone with questions and concerns at (866) 409-0039.

Molina Healthcare's 24-Hour Nurse Advice Line

Members can call Molina Healthcare's Nurse Advice Line 24 hours a day, 365 days a year. Our nurses are ready to answer your medical questions. You can talk to a nurse for health care advice in English or Spanish. Interpreter services are available for other languages. They will help you get the care that you need.

URAC LogoMembers can call the Nurse Advice Line with health questions.
English: (888) 275-8750*
Spanish: (866) 648-3537*
Deaf and Hard of Hearing: 711*

*The Nurse Advice Line is for Molina Members only.

CHIP, STAR, STAR+PLUS and MMP Program Help Line (Enrollment Broker)

In order to join Molina Healthcare, you must apply and be eligible for Medicaid or CHIP. You can apply by calling 2-1-1 or go to Your Texas Benefits.

Once you have been approved, you will receive an enrollment packet in the mail. You will need to choose a health plan, or one will be chosen for you. You can find information about Medicaid or CHIP by calling the Enrollment Broker.

To join Molina Healthcare, call the Enrollment Broker. They are available Monday- Friday, 8:00 a.m.- 6:00 p.m. Call (800) 964-2777 for CHIP and STAR and (877) 782-6440 for STAR+PLUS and MMP.  TTY: (800) 735-2989 or 7-1-1 for hearing impaired. After hours and weekend coverage are not available.

For information on your benefits and covered services call 2-1-1

State Fair Hearings
If you are not happy with the result of your appeal for a disputed healthcare service, you can ask for a State Fair Hearing. Members may request a State Fair Hearing after the Molina appeal process is completed. 

To request an appeal or State Fair Hearing, or if you have questions or want to receive the status of an appeal or State Fair Hearing, you can call Molina Member Services, toll-free (866) 449-6849 or call TTY: (800) 735-2989 (English)/(800) 662-4954 (Spanish) or mail a request to:

Molina Healthcare of Texas

Attention: Member Resolution Team

P.O. Box 182273

Chattanooga, TN 37422

External Medical Reviews

If you ask for a State Fair Hearing, you can also ask for an External Medical Review where independent healthcare experts review your request to continue receiving services. Only the information submitted for your health plan appeal will be used. You won't be able to give new information for the review. This review is an optional, extra step you can take to get your case reviewed for free before your State Fair Hearing. It doesn't change your right to a State Fair Hearing. 

To request an External Medical Review, you can:

Call Molina Member Services, toll free (866) 449-6849 or TTY: (800) 735-2989 (English)/(800) 662-4954 (Spanish).