Parkland Community Health Plan, Inc.

Providers: Please contact your Provider Rep if you have trouble with your Log-in.

A key provider within Parkland Community Health Plan's network, Parkland Hospital's doors are open and continues to serve PCHP members. They continue to serve Medicaid and Medicare and remain fully accredited.

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.

PCHP provides a pharmacy benefit. Click below for more information:

=====================Providers======================

=========Medicaid (HEALTHfirst) Members===========

====CHIP (KIDSfirst)/Perinate/Perinate Newborn Members=====

Contact us:

HEALTHfirst Member Services
1-888-672-2277

KIDSfirst / CHIP Member Services
1-888-814-2352

Claims Address

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

Electronic payor id= 66917

Medicaid ID Card Changes - June 1

Providers: Lab Claim Recoupment

Providers: Billing for Multiple Flu Tests

Providers: Changes for PT, OT and Speech Therapies
Effective 1/1/13

Primary Care Provider rate increased delayed (click for more info.)

PCHP Precert List
Effective 1/1/13 NEW

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 Form1 - - Form2

Provider Electronic Remittance Advices: Complete this 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

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