PROVIDER MANUAL - Sendero Health Plans
PROVIDER MANUAL - Sendero Health Plans
PROVIDER MANUAL - Sendero Health Plans
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<strong>Sendero</strong> Provider Manual Page 7 of 184<br />
1.0 – Quick Reference Guide<br />
1.1 <strong>Sendero</strong> <strong>Health</strong> <strong>Plans</strong> – Quick Reference Guide<br />
Address<br />
Physical and Mailing Address<br />
2028 East Ben White Blvd.<br />
Suite 510<br />
Austin TX 78741<br />
Department Phone Numbers<br />
Member Services<br />
Medicaid STAR CHIP<br />
1-855-526-7388 1-855-526-7388<br />
Claims<br />
Medicaid and CHIP<br />
1-855-526-7388<br />
Network Management<br />
1-855-895-0475<br />
Fax 512-901-9704<br />
Internet Website<br />
www.senderohealth.com<br />
<strong>Health</strong> Services Management Medical<br />
1-855-895-0475<br />
Fax 512-275-2862<br />
Behavioral <strong>Health</strong> HOT LINE<br />
1-888-287-5403 (CHIP)<br />
1-888-287-5402 (STAR)<br />
Self-Referrals<br />
PCP referral is not required when a participating network specialist is utilized for:<br />
In-network or Out-of-network Self-referral<br />
Out-of-area emergency services<br />
Family planning services<br />
Texas <strong>Health</strong> Steps medical case management services for STAR Members<br />
Early Childhood Intervention (ECI) case management services<br />
Children and Pregnant Women (CPW) case management services<br />
School <strong>Health</strong> and Related Services (SHARS) program services<br />
Department of Assistive and Rehabilitative (DARS) case management services for STAR Members<br />
Department of State <strong>Health</strong> Services (DSHS) case management services for STAR Members<br />
Department of Aging and Disability Services (DADS) case management services for STAR<br />
Members<br />
In-network-only Self-referral for Covered Services – Paid by <strong>Sendero</strong><br />
Behavioral health services<br />
Emergency room care<br />
Obstetric services<br />
Well-woman gynecological services<br />
Vision care, including covered eye glasses<br />
<strong>Sendero</strong> Customer Services 1-855-526-7388 Network Management 1-855-895-0475<br />
<strong>Health</strong> Services Dept.: 1-855-297-9191 (FAX 1-512-275-2862)