Language Assistance
En español

Network Participation
Claims & Eligibility
Education & Reference
Clinical Resources
Pharmacy
Contact Us
Sign Up or Log In

Contact Us
Sign Up or Login

Sign Up or Log In

Sign Up or Log In

Medicaid (STAR) and CHIP Prior Authorization Forms

Legal and Privacy
Non-Discrimination Notice

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

© Copyright 2022 Health Care Service Corporation. All Rights Reserved.

PDF File is in portable document format (PDF). To view this file, you may need to install a PDF reader program. Most PDF readers are a free download. One option is Adobe^® Reader^® which has a built-in reader. Other Adobe accessibility tools and information can be downloaded at https://access.adobe.com

External link You are leaving this website/app (“site”). This new site may be offered by a vendor or an independent third party. The site may also contain non-Medicare related information. In addition, some sites may require you to agree to their terms of use and privacy policy.

Home
Network Participation
Claims & Eligibility
Education & Reference
Clinical Resources
Pharmacy