PARKLAND HEALTHfirst - Parkland Community Health Plan, Inc.

Welcome to Parkland KidsFirst,
Parkland CHIP Perinate and Parkland CHIP Perinate Newborn
Introduction
The Children’s Health Insurance Program (CHIP) contracts with Managed Care Organizations (MCO) to
provide discount health coverage for Texas children under CHIP. Parkland Community Health Plan (PCHP) has
expanded upon an existing network of providers and services in answering the request from CHIP to provide
managed care services to CHIP eligibles in the Dallas Service Area. PCHP represents three of PCHP’s
managed care products sponsored by Parkland Health & Hospital System (PHHS). CHIP’s goal is to achieve
five main objectives:
• Improved access to care
• Improved quality of care
• Improved client and provider satisfaction
• Improved cost effectiveness
• Improved health status
We are pleased you have decided to participate with Parkland KIDSfirst, Parkland CHIP Perinate and/or
Parkland CHIP Perinate Newborn. Participating in the CHIP program requires a separate contract/or contract
amendment for the CHIP Program and its services. If you have questions regarding which program and services
you are contracted to participate in, please contact your PCHP Provider Representative. Ranked one of the best
hospitals in the United States, PHHS in conjunction with UT Southwestern and Children’s Hospital and our
other community providers has maintained a vested interest in the health and well being of Dallas children. The
introduction of CHIP to the Dallas Service Area has provided PCHP with the chance to collaborate with other
institutions and local providers to enhance the availability of health care to the pediatric population.
PCHP is dedicated to being the provider friendly MCO. Our organizational goal is to help our providers care
for patients. PCHP staff appreciates your responsiveness to the needs of our membership throughout Dallas,
Collin, Ellis, Hunt, Kaufman, Navarro and Rockwall Counties.
If you are a participating primary care provider with Parkland KidsFirst and/or Parkland CHIP Perinate
Newborn, you will act as the member’s primary care or “medical home” contact that they can go to with
medical questions. The Primary Care Provider is responsible for managing all medical care of Parkland
KidsFirst and/or Parkland CHIP Perinate Newborn assigned members and taking care of routine medical
problems. The Primary Care Provider is also responsible for referrals to a specialist as well as making
arrangements for hospital admissions.
If you are a participating CHIP Perinatal provider with Parkland CHIP Perinate, you will act as the member’s
primary health care provider and contact for medical questions related to care during pregnancy. As a CHIP
Perinatal provider you must provide care related to prenatal services, and labor and delivery that is needed by
the Parkland CHIP Perinate member.
If you are a specialty care provider with Parkland KidsFirst or Parkland CHIP Perinate Newborn, you can
provide services after a referral has been made by the member’s Primary Care Provider. It is the responsibility
of the specialist’s office to ensure that the member has a valid referral before rendering services. Members do
not need Primary Care Provider referrals for Behavioral Health, Obstetrical/Gynecological care, or some other
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