PARKLAND HEALTHfirst - Parkland Community Health Plan, Inc.

• Your practice is properly listed in the Parkland CHIP Perinate Provider Directory;
• Payments made to you or your group are properly reported to the Internal Revenue Service; and,
Forward correspondence to:
Parkland Community Health Plan Inc.
Provider Relations Department
2777 Stemmons Freeway, Suite 1750
Dallas, Texas 75207
Provider Termination from Health Plan
Providers must provide written notice of termination at least 90 days in advance to Parkland CHIP Perinate, of
any provider terminations. This information can be sent to:
Parkland Community Health Plan Inc.
Provider Relations Department
2777 Stemmons Freeway, Suite 1750
Dallas, Texas 75207
Laboratory Tests
Parkland CHIP Perinate providers must refer laboratory tests to in-network facilities and contractors.
Exceptions must be approved by PCHP Patient Management. Please refer to the Parkland CHIP Perinate
provider directory or contact provider relations at 1-888-814-2352 for information or assistance.
Coordination of Care
Coordination of care is vital to assuring members receive appropriate and timely care as well as communication
between providers for members who have moved out of the service area and allows for transferred care to a new
HMO and provider. Compliance with this coordination is reviewed closely during site visits for credentialing
and recredentialing, as well as during quality improvement and utilization management reviews.
Pregnant members past the 24 th week of pregnancy will be allowed to remain under the care of their current
Obstetrician/Gynecologist or pick an Obstetrician/Gynecologist within the network if she chooses to do so, if
the provider to whom she wants to change agrees to accept her.
Compliance with PCHP Policy and Procedures
Providers will meet the program rules with all policies and procedures implemented by Parkland CHIP Perinate
Utilization Management and Quality Improvement Programs.
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