PROVIDER MANUAL - Sendero Health Plans

Sendero Provider Manual Page 83 of 184
Only family planning patients, not their parents, their spouses or other individuals, may consent to the provision
of the family planning services. However, counseling should be offered to adolescents, which encourages them
to discuss their family planning needs with a parent, adult family Member, or other trusted adult.
Sterilization services are a benefit for members who are at least 21 years of age when the consent form is signed.
In the event that a Sendero Member aged 21 years or older chooses sterilization, providers must use the current
state-approved sterilization consent form and complete at least thirty (30) days prior to the procedure, with
some exceptions related to emergency surgery and premature delivery. These forms and instructions are
available in both English and Spanish at www.tmhp.com by clicking on the Family Planning link under the
Provider section.
Providers may fax the completed form to Sendero Health Services Department at the fax number at the bottom
of this page, or simply include the form with the completed claim form.
ST 2.4 Non-Urgent Medical Transportation Services
The Health and Human Services Commission provides medical transportation services for STAR patients that
have no other means of transportation for medical and dental appointments. The transportation program will
utilize the most cost-effective method of transportation that does not endanger a patient’s health, to include an
ambulance or wheelchair van.
To request medical transportation services, a Member should contact the transportation program at: 1-877-633-
8747. To arrange for transportation, call at least 48 hours in advance of the office visit, Monday through
Friday, 8 a.m. to 5 p.m.
ST 2.5 Coordination with Non-Medicaid Managed Care Covered Services:
Non-Medicaid Managed Care Services include the following:
Dental Services
Beginning March 1, 2012 STAR and CHIP dental services are offered through a managed care model program
for eligible recipients. Dental services are discussed in “ST4 – Texas Health Steps Program” or “CH2 –
Covered Services” in this Provider Manual. For more information see the value added services listed for STAR
and CHIP.
Texas Agency Administered Programs and Case Management Services
Texas Department of Family and Protective Services (DFPS): Sendero’s network of providers coordinates with
DFPS (and associated foster parents) to ensure that the at risk population, both children in custody and not in
custody of DFPS, receive the services they need. Children who are served by DFPS may transition into and out
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)