PROVIDER MANUAL - Sendero Health Plans

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Sendero Provider Manual Page 10 of 184 1.2 Other Organizations’ Telephone numbers Childhood Lead Poisoning 1-800-588-1248 CHIP application and enrollment assistance 1-877-543-7669 or 1-800-647-6558 Comprehensive Care Program 1-800-846-7470 Early Childhood Intervention (ECI) Care Line (STAR Only) 1-800-628-5115 Medicaid Client Hotline (Benefits) 1-800-252-8263 Medical Transportation Services (Medicaid) 1-877-633-8747 Pharmacy Questions - Navitus 1-877-908-6023 Texas Abuse Hotline 1-800-252-5400 Texas Vaccines for Children Program 1-800-252-9152 Texas Health Steps 1-877-847-8377 Finding Help in Texas/Eligibility and Benefits 2-1-1 or 1-877-541-7905 TMHP AIS Line (Automated Inquiry System) To verify Medicaid STAR eligibility 1-800-925-9126 option 2 Women, Infant, Children (WIC) 1-800-942-3678 Sendero Customer Services 1-855-526-7388 Network Management 1-855-895-0475 Health Services Dept.: 1-855-297-9191 (FAX 1-512-275-2862)
Sendero Provider Manual Page 11 of 184 2.0 – Introduction 2.1 Background of Sendero Health Plans Sendero Health Plans (Sendero) is a local non-profit corporation based in Austin, Texas and licensed as a community-based Health Maintenance Organization (HMO) that serves Central Texas. Sendero is sponsored by the Travis County Healthcare District, doing business as Central Health, which is providing organizational and financial resources to enable Sendero Health Plans to become a major player in improving health care access for people in Central Texas. Beginning March 2012, Sendero will provide services to the Medicaid STAR and CHIP population in Travis and surrounding counties of Bastrop, Burnet, Caldwell, Fayette, Hays, Lee, and Williamson. Mission Statement Sendero is committed to providing comprehensive healthcare coverage and to arrange for innovative, high quality and cost-effective medical services for health plan Members within Central Texas. Name Selection Sendero means “path” in Spanish. Sendero Health Plans is your pathway to better health in Central Texas. Provider Network Sendero will develop collaborative relationships with physicians, hospitals and other healthcare providers to improve access, efficiency and quality of care for our Members. We are committed to understanding local provider’s requirements. As a non-profit corporation, Sendero Health Plans will reinvest any surplus earnings to strengthen local healthcare infrastructure and improve healthcare for people living in Central Texas. We are based in Austin with a local management team to serve Members and providers. We will work collaboratively with physicians and other providers to facilitate access and continuity of care. Products Under a contract with the Texas Health and Human Services Commission (HHSC), Sendero Health Plans functions as an administrator for the STAR/Medicaid managed care and Children’s Health Insurance Program (CHIP/CHIP Perinatal) programs in the eight county Travis Service Delivery Area. Sendero Customer Services 1-855-526-7388 Network Management 1-855-895-0475 Health Services Dept.: 1-855-297-9191 (FAX 1-512-275-2862)
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PROVIDER MANUAL - Sendero Health Plans

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