Texas Children's Health Plan
Part of Texas Children's Hospital
Summary
Texas Children's Health Plan is a Medicaid managed care organization, part of Texas Children's Hospital, offering medical coverage operating in Texas. Claims route under payer ID 75228, with 5 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through TX Children's Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, professional claims, and institutional claims.
At a glance
- Payer ID
75228Also seen as 14372, 1911, 2483, 75228MC, TXCSM- Also known as
- Texas Children's Health Plan (Medicaid) STAR & STAR Kids, Texas Children's Hospital, Texas Childrens Health Plan (Star Medicaid / Medicaid Managed Care)
- Uses CAQH
- YesApplication route: Payer portal application
- Service area
- TX (Houston area)
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
Common questions
- What is the payer ID for Texas Children's Health Plan?
- The payer ID for Texas Children's Health Plan is 75228. Alternate IDs seen across clearinghouses include 14372, 1911, 2483, 75228MC.
- How long does Texas Children's Health Plan provider enrollment take?
- Texas Children's Health Plan provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does Texas Children's Health Plan require CAQH?
- Yes. Texas Children's Health Plan uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- What states does Texas Children's Health Plan cover?
- Texas Children's Health Plan operates in TX (Houston area). Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Texas Children's Health Plan offer?
- Texas Children's Health Plan covers medical.
Related payers
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.