Important Phone Numbers Provider Login

Provider Login

Provider Materials

Claim Forms

Corrected Claim

View and Download

Clean Claim Elements

View and Download

CMS 1500 02-12
Claim Form Manual

View and Download

New CMS 1500 Guidance

View and Download

Nursing Facility Claim Issue Log

View and Download

References

Provider Manual CHIP, STAR & STAR+PLUS

Updated Sept. 2024

View and Download

STAR+PLUS Nursing Facility Provider Manual

Updated Sept. 2025

View and Download

Member Handbooks
and Provider Directories

View and Download

STAR/CHIP/STAR+PLUS
Quick Reference Guide

View and Download

CMS Cell & GeneTherapy – Provider Billing Instructions

View and Download

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, Oct. 2, 2025

PCP Provider Quarterly Training

12:00-1:30 pm

IN-PERSON, Multipurpose Room

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

Tuesday, November 18, 2025

Medicare Advantage

2:00-3:30 pm

IN-PERSON, Multipurpose Room

Thursday, January 29, 2026

Medicare Advantage & DSNP

12:00-1:30 pm

IN-PERSON, Rio Grande Room

Thursday, February 26, 2026

STAR+PLUS LTSS

12:00-1:30 pm

IN-PERSON, Multipurpose Room

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

October 01, 2025

Nursing Facility Provider Training

View Presentation >>

October 01, 2025

PT/OT/ST Provider Training

View Presentation >>

July 7, 2025

HomeHealth /DME Provider Training

View Presentation >>

April 24, 2025

Behavioral Health Provider Training

View Presentation >>

Archived Quarterly Provider Orientations

Click below to view presentations from previous provider orientations.
‍

View Presentations

Provider Updates

Visit our Provider Update Archive page to see the full list.

September 30, 2025

EPH_Provider Referral Memo_DME form

September 17, 2025

Prior Authorizations Extended Due to 2025 Flooding

September 17, 2025

Provider Revalidation Flyer

September 17, 2025

Reminder: CLIA Updates for Some Procedure Codes

September 17, 2025

Provider Guidance: Nutritional Supplements for DME Providers

September 17, 2025

OB/GYN Prior Authorization No Longer Required for certain Genetic Testing

September 17, 2025

BEHAVIORAL HEALTH: Improving Discharge Planning Coordination

June 10, 2025

Home Health DME Provider Orientation Flyer

June 9, 2025

Rental of Dual-Function Home Ventalators a Benefit of Texas Medicaid Eff. April 1, 2025

keyboard_arrow_down

Complaints and Appeals Forms

Request for a Review by an Independent Review Organization – English Request for a Review by an Independent Review Organization – Spanish

keyboard_arrow_down

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.
‍

keyboard_arrow_down

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

keyboard_arrow_down

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

keyboard_arrow_down

Misc. Forms

El Paso Health Payer Identifications Electronic Remittance Advice (835) Request Form HealthX Fax System

keyboard_arrow_down

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.
‍

Provider Portal Training Guidance 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

keyboard_arrow_down

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.
‍

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

Facebook

Instagram

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.

Notice

You are about to leave El Paso Health website to visit:

This is some text inside of a div block.

Go Back Continue

Recorded Link Display