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  Parkland Community Health Plan, Inc.
Carries the name that has provided convenient, affordable, and caring health care for over a century.

Parkland Community Health Plan, Inc. (PCHP) is a Dallas-based regional managed care organization that was created to serve as a bridge connecting the community's uninsured population to programs and services designed specifically for them, including Medicaid Managed Care and the Children's Health Insurance Program (CHIP). PCHP is an integral part of Parkland Health and Hospital System which also includes Parkland Memorial Hospital, Community Oriented Primary Care and the Parkland Foundation.

We work with over 3,000 health care providers and organizations, including 30 hospitals and medical centers.

Our service area covers Dallas, Collin, Ellis, Hunt, Kaufman, Navarro and Rockwall counties.

We offer Parkland HEALTHfirst for Medicaid. If you're not on Medicaid, Parkland KIDSfirst may cover your children ages eighteen and under.

We also provide CHIP Perinatal services.

 

Parkland Community Health Plan Is
Changing Your CHIP Behavioral Health Company

Parkland Community Health Plan is changing your CHIP behavioral (mental) health company on October 1, 2013, to Beacon Health Strategies (Beacon).  You can keep getting treatment through Comprehensive Behavioral Care (CompCare) until September 30, 2013.

Please call Parkland KIDSfirst CHIP Member Services toll-free at 1-888-814-2352 if you have any questions.

 

Notice: PCHP has terminated its contracts with Doctors Hospital White Rock Lake and the HCA network, including the following hospitals, which are now considered out of network:

Medical City Dallas

Medical Center of Arlington

Medical Center of McKinney

Medical Center of Denton

Medical Center of Plano

Plaza Medical Center

 

 

 

 

 

Contact us:

  • HEALTHfirst Member Services
    1-888-672-2277
  • KIDSfirst / CHIP Member Services
    1-888-814-2352

 

About Us | KIDSfirst | HEALTHfirst | Español | Disclaimer | Home

Copyright 2005-2012 (C) Parkland Community Health Plan, Inc.
 

Claims Address

Attn:  Claims Department
P.O. Box  61088
Phoenix, AZ  85082


Electronic payor id= 66917

CHIP Pharmacy copays - generic versus name brand

Primary Care Provider rate increase - latest information

Note: Diabetic strips and meters - only through the Pharmacy Benefit

Providers: New CHIP Behavioral Health Vendor

Providers: CHIP to TIERS Conversion Information

PCHP Precert List
Effective 1/1/13

Synagis Prior Auth Form

Providers: PCHP and Vital Data Technology have united to share meaningful member information at the point of care at no cost to you - click for more info.

Provider Electronic Funds Transfer Information - complete both forms (Note: New Forms) Form1 - - Form2

Provider Electronic Remittance Advices: Complete this Form (Note: New Form)

Provider Claim Appeals: Form -and - Instructions

Provider Alert: MCOs must maintain Special Investigative Units

Are you interested in
Credentialing and
becoming part of the
PCHP Provider Network?

Texas Referral Authorization Form
pdf .PDF

Immunization Administration Procedure Code Changes Effective 4/1/11

Frew Corrective Action Information

 
   

“Request for PCHP
Provider Website Access”

 
   

Synagis® Procedure Update

TEXAS MEDICAID VENDOR DRUG PROGRAM
SYNAGIS® (PALIVIZUMAB) PRIOR AUTHORIZATION REQUEST & PRESCRIPTION FORM pdf .PDF