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Provider Materials

Claim Forms

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Corrected Claim
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Clean Claim Elements
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CMS 1500 02-12
Claim Form Manual
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New CMS 1500 Guidance
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References

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Provider Manual CHIP, STAR & STAR+PLUS
Updated Sept. 2024
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Provider Manual Image
STAR+PLUS Nursing Facility Provider Manual
Updated Sept. 2025
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Member Handbooks
and Provider Directories
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STAR/CHIP/STAR+PLUS
Quick Reference Guide
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Upcoming Provider Training Orientations

Join us for an engaging training session focused on El Paso Health policies and processes, tailored to expand your understanding of critical topics. These sessions provide valuable insights into key resources that benefit both members and providers.

Class sizes are limited. Details regarding upcoming Provider Training Orientations are subject to change.
Thursday, September 11, 2025
STAR,CHIP & STAR+PLUS PCP/Specialist
12:00-1:30 pm

IN-PERSON, Multipurpose Room
  • STAR+PLUS Webpage
  • Member ID Cards
  • Accessibility and Availability
  • Transportation/NEMT
  • Fraud, Waste, and Abuse
  • Claims
View PDF Invite >> Sign-up Here
Thursday, October 30, 2025
STAR,CHIP & STAR+PLUS OB/GYN
12:00-1:30 pm

IN-PERSON, Multipurpose Room
View PDF Invite >> Sign-up Here
Tuesday, November 18, 2025
Medicare Advantage
2:00-3:30 pm

IN-PERSON, Multipurpose Room
View PDF Invite >> Sign-up Here
Thursday, January 29, 2026
Medicare Advantage & DSNP
12:00-1:30 pm

IN-PERSON, Rio Grande Room
View PDF Invite >> Sign-up Here
Thursday, February 26, 2026
STAR+PLUS LTSS
12:00-1:30 pm

IN-PERSON, Multipurpose Room
Sign-up Here View PDF Invite >>
For New or Renewed Members
Food from the Heart

Receive a $25 gift card for attending an EPH New Member Orientation.
Learn More
For Pregnant Members
Baby Shower

A Baby Shower including a diaper bag, a starter supply of diapers, and other items for the baby.  A free convertible car seat after attending a baby shower at El Paso Health.
Learn More
For New or Renewed Members
Stay Safe Kit

Receive a Stay Safe Kit for attending a an EPH wellness class.
Learn More
For New or Renewed Members
Food from the Heart

Receive a $25 gift card for attending an EPH New Member Orientation.
Learn More
For Pregnant Members
Baby Shower

A Baby Shower including a diaper bag, a starter supply of diapers, and other items for the baby.  A free convertible car seat after attending a baby shower at El Paso Health.
Learn More
For New or Renewed Members
Stay Safe Kit

Receive a Stay Safe Kit for attending a an EPH wellness class.
Learn More
Please email ProviderRelationDG@elpasohealth.com or contact the Provider Services Department at 915-532-3778 for question or suggestions with topics for future events.

Provider Training Presentations

April 24, 2025
Behavioral Health Provider Training
This presentation covered:
  • Provider Updates and Reminders
  • Quality Improvement
    Program & Initiatives
  • Mental Health Services
  • And more
View Presentation >>
March 27, 2025
PCP/OB/Family/Internist/Geriatrics Training Presentation
This presentation covered:
  • Provider Updates and Reminders
  • Case Management for CPW
  • Health Services
  • And more
View Presentation >>
February 27, 2025
STAR+PLUS LTSS Provider Orientation Training
This presentation covered:
  • Provider Updates and Reminders
  • LTSS Authorizations
  • Value Added Services
  • And more
View Presentation >>
Archived Quarterly Provider Orientations
Click below to view presentations from previous provider orientations.
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View Presentations

Provider Updates

Visit our Provider Update Archive page to see the full list.
April 14, 2025
EPH - Behavioral Health Provider Specialty Training Invite
Read More
April 7, 2025
Electronic Funds Transfer (EFT) Fraud Scheme
Read More
April 4, 2025
Vaccine Recommendations in the Context of Local Outbreak
Read More
August 2, 2022
COVID-19 Vaccine Administration Procedure Codes 0091A 0092A and 0093A Are Now Benefits for Medicaid and CHIP
Read More
August 1, 2022
MCO CPW Carve In Effective September 1, 2022
Read More
August 1, 2022
MCO ET3 Effective September 1, 2022
Read More
July 22, 2022
Behavioral Health Provider Training Invite
Read More
July 12, 2022
MCO Notice COVID-19 Moderna Vaccine Admin Codes 0011A, 0012A, 0013A, Age Expansion for Medicaid and CHIP
Read More
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Complaints and Appeals Forms
Request for a Review by an Independent Review Organization – English Request for a Review by an Independent Review Organization – Spanish
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Credentialing Packet Forms
Fiscal Year 2025 Enhancement for Attendant Compensation- Request for Participation DME Supplies Form Home Health Form Demographic Form W9 Form – Request for Taxpayer Identification Number and Certification Credentialing Checklist for Organization/Facility Credentialing Application for Organization Secondary Locations for Organization Credentialing & Re-Credentialing Checklist for Physician Texas Standardized Credentialing Application EFT Form
Visit the Provider Contracting and Credentialing page for more information. If you have any questions, please contact us at 915-532-3778 or toll free at 1-877-532-3778.
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Health Services Forms
ABA Request Checklist Therapy Request Checklist CCP Prior Authorization Request Form STAR/CHIP Pre-Authorization Flyer EFF 10.1.2023 Texas Standard Prior Authorization Form for Health Care Services Prior Authorization Form – Out of Area Inpatient Prior Authorization Form – NICU Provider Guide to In-Lieu of Services IUD Abandoned Unit Return Form Case Management Referral Form Behavioral Health Prior Authorization Form
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Member Services Forms
Authorization to Disclose information to PCP 1027 Medicaid Eligibility Form Specialist as a PCP Request Form Primary Care Provider Change Request Form
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Misc. Forms
El Paso Health Payer Identifications Electronic Remittance Advice (835) Request Form HealthX Fax System
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Provider Resources
Click here to visit the Texas Medicaid and Healthcare Partnership website.

Click here to visit the Texas Health and Human Services Commission website.
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Medicare Advantage HMO-D-SNP Provider Quarterly Training Session El Paso Health Provider Survey Flyer EVV Home Health Care Services (HHCS) Service Bill Codes Table Now Available Medicaid Applied Behavior Analysis (ABA) Services for Children and Youth With Autism Contract Checklist Version 2.7 Ch 8_1 EFF June.1.2023 Formularies Available on Epocrates Texas HHS Vendor Drug Program Home Page Formulary Drug Search Navitus Pharmacy Quick Reference Guide 2019 Preferred Drug List TCHAP Resources The Texas Clinician’s Postpartum Depression Toolkit TMHP for NPI Attestation TMHP Provider Procedures Manual El Paso Health_CHIP_EOC_Schedule_A_Final_010719 El Paso Health_CHIP_EOC_Schedule_B_Final_010719 El Paso Health_CHIP_EOC_Schedule_C_Final_010719 El Paso Health_CHIP_EOC_Schedule_D_Final_010719 CHIP Perinatal Program for Unborn Children-Evidence of Coverage CHIP Perinatal Program for Perinatal Newborns-Evidence of Coverage Waste, Abuse and Fraud Educational Link
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Medicaid Autism Services Family Flyers
Medicaid Applied Behavior Analysis (ABA) Services for Children and Youth With Autism
For more information, please visit our Autism Spectrum Disorder page.
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1145 Westmoreland Drive
El Paso, TX 79925-5615

Call us at 915-532-3778 STAR/CHIP
Outside El Paso 1-877-532-3778 STAR/CHIP

Call us at 1-833-742-3127 STAR+PLUS

Hours of Operation
8:00 A.M. – 5:00 P.M. MST
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The information posted on this website may be available in other formats such as large print, Braille, and audio. You can request the materials in other formats by calling Member Services at 1-877-532-3778.
General Info
Home Do I Qualify? Members Providers About Us Contact Us Volunteer Site Map
Career Opportunities
For current job openings at El Paso Health click here.
Important Info
Important Phone Numbers Statement of Non-Discrimination Members Rights and Responsibilities
Paper Claim Submissions
El Paso Health - Claims
P.O. Box 971370
El Paso, TX 79997-1370

General Correspondence
P.O. Box 971100
El Paso, TX 79997-1100
You can also report fraud, waste and abuse directly to the Texas Office of Inspector General.
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