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Provider Materials

Claim Forms

Corrected Claim
View and Download
Clean Claim Elements
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CMS 1500 02-12
Claim Form Manual
View and Download
New CMS 1500 Guidance
View and Download

References

Provider Manual CHIP, STAR & STAR+PLUS
Updated Sept. 2024
View and Download
STAR+PLUS Nursing Facility Provider Manual
Updated Sept. 2024
View and Download
Member Handbooks
and Provider Directories
View and Download
STAR/CHIP/STAR+PLUS
Quick Reference Guide
View and Download

Upcoming Provider Training Orientations

Join us for an engaging training session focused on El Paso Health policies and processes, tailored to expand your understanding of critical topics. These sessions provide valuable insights into key resources that benefit both members and providers. Class sizes are limited.
Thursday, May 29, 2025
STAR+PLUS Nursing Facility Orientation
12:00-1:30 pm

VIRTUAL
  • STAR+PLUS Webpage
  • Member ID Cards
  • Accessibility and Availability
  • Transportation/NEMT
  • Fraud, Waste, and Abuse
  • Claims
View PDF Invite >>Sign-up Here
Thursday, June 26, 2025
Home Health/Ancillary/DME Orientation
12:00-1:30 pm

IN-PERSON
View PDF Invite >>Sign-up Here
Thursday, July 31, 2025
Medicare Advantage DSNP Training
12:00-1:30 pm

IN-PERSON
View PDF Invite >>Sign-up Here
Thursday, August 28, 2025
STAR+PLUS LTSS Training
12:00-1:30 pm

IN-PERSON
View PDF Invite >>Sign-up Here
For New or Renewed Members
Food from the Heart

Receive a $25 gift card for attending an EPH New Member Orientation.
Learn More
For Pregnant Members
Baby Shower

A Baby Shower including a diaper bag, a starter supply of diapers, and other items for the baby.  A free convertible car seat after attending a baby shower at El Paso Health.
Learn More
For New or Renewed Members
Stay Safe Kit

Receive a Stay Safe Kit for attending a an EPH wellness class.
Learn More
For New or Renewed Members
Food from the Heart

Receive a $25 gift card for attending an EPH New Member Orientation.
Learn More
For Pregnant Members
Baby Shower

A Baby Shower including a diaper bag, a starter supply of diapers, and other items for the baby.  A free convertible car seat after attending a baby shower at El Paso Health.
Learn More
For New or Renewed Members
Stay Safe Kit

Receive a Stay Safe Kit for attending a an EPH wellness class.
Learn More
Please email ProviderRelationDG@elpasohealth.com or contact the Provider Services Department at 915-532-3778 for question or suggestions with topics for future events.

Provider Training Presentations

November 21, 2024
Specialist Provider Training
This presentation covered:
  • STAR+PLUS
  • Provider Web Portal
  • Transportation/NEMT
  • Claims
  • And more
View Presentation >>
September 23, 2024
STAR+PLUS Nursing Facility Provider Training
This presentation covered:
  • STAR+PLUS
  • Value Added Services
  • Member ID Cards
  • Provider Portal and Directory
  • And more
View Presentation >>
April 24, 2024
Behavioral Health Provider Orientation
This presentation covered:
  • Provider Updates and Reminders
  • Quality Improvement
    Program & Initiatives
  • Mental Health Services
  • And more
View Presentation >>
Archived Quarterly Provider Orientations
Click below to view presentations from previous provider orientations.
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View Presentations
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Complaints and Appeals Forms
Request for a Review by an Independent Review Organization – EnglishRequest for a Review by an Independent Review Organization – Spanish
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Credentialing Packet Forms
Fiscal Year 2025 Enhancement for Attendant Compensation- Request for ParticipationDME Supplies FormHome Health FormDemographic FormW9 Form – Request for Taxpayer Identification Number and CertificationCredentialing Checklist for Organization/FacilityCredentialing Application for OrganizationSecondary Locations for OrganizationCredentialing & Re-Credentialing Checklist for PhysicianTexas Standardized Credentialing ApplicationEFT Form
Visit the Provider Contracting and Credentialing page for more information. If you have any questions, please contact us at 915-532-3778 or toll free at 1-877-532-3778.
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Health Services Forms
ABA Request ChecklistTherapy Request ChecklistCCP Prior Authorization Request FormSTAR/CHIP Pre-Authorization Flyer EFF 10.1.2023Texas Standard Prior Authorization Form for Health Care ServicesPrior Authorization Form – Out of Area InpatientPrior Authorization Form – NICUProvider Guide to In-Lieu of ServicesIUD Abandoned Unit Return FormCase Management Referral FormBehavioral Health Prior Authorization Form
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Member Services Forms
Authorization to Disclose information to PCP1027 Medicaid Eligibility FormSpecialist as a PCP Request FormPrimary Care Provider Change Request Form
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Misc. Forms
El Paso Health Payer IdentificationsElectronic Remittance Advice (835) Request FormHealthX Fax System
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Provider Resources
Click here to visit the Texas Medicaid and Healthcare Partnership website.

Click here to visit the Texas Health and Human Services Commission website.
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Medicare Advantage HMO-D-SNP Provider Quarterly Training SessionEl Paso Health Provider Survey FlyerEVV Home Health Care Services (HHCS) Service Bill Codes Table Now AvailableMedicaid Applied Behavior Analysis (ABA) Services for Children and Youth With AutismContract Checklist Version 2.7 Ch 8_1 EFF June.1.2023Formularies Available on EpocratesFormularyNavitusPharmacy Quick Reference Guide 2019Preferred Drug ListTCHAP ResourcesThe Texas Clinician’s Postpartum Depression ToolkitTMHP for NPI AttestationTMHP Provider Procedures ManualEl Paso Health_CHIP_EOC_Schedule_A_Final_010719El Paso Health_CHIP_EOC_Schedule_B_Final_010719El Paso Health_CHIP_EOC_Schedule_C_Final_010719El Paso Health_CHIP_EOC_Schedule_D_Final_010719CHIP Perinatal Program for Unborn Children-Evidence of CoverageCHIP Perinatal Program for Perinatal Newborns-Evidence of CoverageWaste, Abuse and Fraud Educational Link
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Medicaid Autism Services Family Flyers
Medicaid Applied Behavior Analysis (ABA) Services for Children and Youth With Autism
For more information, please visit our Autism Spectrum Disorder page.
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1145 Westmoreland Drive
El Paso, TX 79925-5615

Call us at 915-532-3778 STAR/CHIP
Outside El Paso 1-877-532-3778 STAR/CHIP

Call us at 1-833-742-3127 STAR+PLUS

Hours of Operation
8:00 A.M. – 5:00 P.M. MST
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The information posted on this website may be available in other formats such as large print, Braille, and audio. You can request the materials in other formats by calling Member Services at 1-877-532-3778.
General Info
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Career Opportunities
For current job openings at El Paso Health click here.
Important Info
Important Phone NumbersStatement of Non-DiscriminationMembers Rights and Responsibilities
Paper Claim Submissions
El Paso Health - Claims
P.O. Box 971370
El Paso, TX 79997-1370

General Correspondence
P.O. Box 971100
El Paso, TX 79997-1100
You can also report fraud, waste and abuse directly to the Texas Office of Inspector General.
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