PROVIDER MANUAL - Sendero Health Plans

Sendero Provider Manual Page 96 of 184
Attempt to contact Members who are due for a Texas Health Steps exam.
Attempt to contact new Members who are due for a Texas Health Steps exam.
Once contacted, the Call Center will conference call the Member’s primary care provider’s office to help
in scheduling the appointment, while the Member is on the line.
The Call Center will send out an appointment reminder letter to the Member once the appointment is
made.
If unable to reach Member/parent by telephone, the Call Center will send them a postcard to remind
them to call their primary care provider to schedule their child’s Texas Health Steps visit that is due.
In addition, the Call Center helps Migrant Farm Worker’s children with acceleration of services prior to
leaving the area, if needed.
The Call Center reaches out to help schedule Texas Health Steps appointments for Members that are due for a
visit.
ST 4.18 Pregnancy Notification Requirements
Pregnant STAR/Medicaid Members
Sendero Health Services Department should be notified as soon as the Member is determined to be pregnant, as
well as advised of any high risk factors. This will allow the RN Care Coordinators to work collaboratively with
the physician and provide proactive case management in order to help in maintaining a healthy full term
pregnancy.
Obtaining Pregnancy Notification Forms
Supplies of Pregnancy notification forms are available to provider’s offices, or see Appendix A of this manual.
Contact Network Management at the phone number at the bottom of this page for information regarding these
forms. These forms may be completed and faxed to the Health Services Department at 512-275-2862 to notify
Sendero of a Member’s pregnancy.
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)