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MEDICAID PCP PROVIDER DIRECTORY DIRECTORIO DE PROVEEDORES DECEMBER/DECIEMBRE 2017 HARRIS SERVICE AREA ÁREA DE SERVICIO DE HARRIS Thousands of doctors to choose from, including Memorial Hermann and Texas Children’s Hospital 24-Hour Nurse Help Line Contact lenses and dental services for children and adults Much more! Miles de doctores de donde escoger incluyendo Memorial Hermann y el hospital de Texas Children’s Línea de Ayuda de Enfermeras las 24 horas del día Lentes de contacto y servicios dentales para niños y adultos ¡Y mucho más! CommunityHealthChoice.org 713.295.2294 | 1.888.760.2600 HA79-1217 Community Health Choice Texas, Inc. is an affiliate of the Harris Health System. Community Health Choice Texas, Inc. es un afiliado de Harris Health System. Community Health Choice Healthy Members at our Houston Astros event Miembros sanos de Community Health Choice en nuestro evento de los Houston Astros FOUR EASY STEPS CUATRO PASOS TO MEMBERSHIP FÁCILES PARA INSCRIBIRSE Step 1 Find your enrollment form. Paso 1 Encuentre su forma de inscripción. Write Community Health Choice Plan under Escriba Community Health Choice Plan Step 2 “Health Plan Name” as your first choice for Paso 2 en el cuadro “Health Plan Name” como each person being covered. su primera preferencia para cada persona cubierta. Pick a main doctor. Step Seleccione a un médico principal. 3 • Find your doctor listed under your city. Paso 3 • Encuentre a un médico en su ciudad. • Then, under “Primary Care Provider Name,” write the name of your first • Después, bajo “Primary Care Provider and second choice for doctors for each Name,” escriba el nombre de su person being covered. primera y segunda preferencia de médicos para cada persona cubierta. • If you are having trouble finding your doctor, call us toll-free at • Si tiene problemas para encontrar 1.888.760.2600. a un médico, llámenos gratis al 1.888.760.2600. Fill out the rest of the form. Make sure Step 4 you sign and date it. Mail it in the return Llene el resto de la forma. Asegúrese de envelope that was provided. Paso 4 firmarla y anotar la fecha. Envíela en el sobre adjunto. TABLE OF CONTENTS/TABLA DE CONTENIDO Get the Most out of Your Membership Obtenga el Maximo Beneficio de su Membresía 4-5 Abbreviations and Additional Information Abreviaturas e Información Adicional 6 Health Care Centers Centros de Salud 7-10 Primary Care Providers by City * Proveedores de Cuidado Primario por Ciudad ** 11-53 Specialists Especialistas 54-74 Pharmacies Farmacias 75-85 Hospitals and Map Hospitales y Mapa 86-87 Provider Index Indice de Proveedores 88-95 Health Care Centers / Pharmacies Index Indice de Centros de Salud / Farmacias 96-98 Language Assistance / Non-Discrimination Statement 99 Asistencia con el idioma / Declaración contra la discriminación Important Phone Numbers Números de Teléfono Importantes 100 * Includes family practice, general medicine, and internal medicine ** Incluye medicina familiar, medicina general y medicina interna Behavioral Health Facilities: If you or your child has a problem with drugs, alcohol or mental health, call Beacon Health Options toll-free at 1.877.343.3108, the Community Health Choice Provider of mental health and drug and alcohol abuse treatment services. Some mental health or substance abuse problems may also need urgent care. For help with these problems or for more information, please call Beacon Health Options. You can call Beacon Health Options 24 hours a day, seven days a week. You do not need to see your Primary Care Provider first or get a referral from your Primary Care Provider. Community Health Choice follows the Mental Health Parity Addiction Equity Act (MHPAEA). We review to make sure that requirements for mental health benefits are the same or less than medical benefits. Service Areas/Áreas de Servicio Austin, Brazoria, Fort Bend, Galveston, Harris, Matagorda, Montgomery, Waller, and/y Wharton Specific limitations to access particular Providers are noted with Provider information. Community Health Choice does not limit its Member's selection of an OB/GYN Provider. You may select any OB/GYN within our Network. Providers listed are current at the time this directory is printed. Participating Providers may be added or deleted from time to time. Please contact Member Services at 713.295.2294 or toll-free at 1.888.760.2600 if you have any questions regarding a particular Provider. Las limitaciones específicas para tener acceso a Proveedores en particular están indicadas en la información sobre Proveedores. Community Health Choice no limita a sus Miembros la selección de un doctor gineco-obstetra. Usted puede elegir a cualquier doctor gineco-obstetra dentro de nuestra red. La lista de Proveedores está actualizada al imprimir este directorio. Es posible que de vez en cuando se agreguen o se quiten Proveedores participantes. Por favor, comuníquese con Servicios para Miembros al 713.295.2294 o gratis al 1.888.760.2600 si tiene alguna pregunta sobre un Proveedor en particular. 3 DECEMBER/DECIEMBRE 2017 GET THE MOST OUT OF YOUR MEMBERSHIP HOW TO PICK YOUR DOCTOR/PRIMARY CARE PROVIDER When you pick Community Health Choice, Inc. (Community) as your health plan, you will pick your own doctor called a Primary Care Provider. Here are some tips to help you pick your Primary Care Provider: • Look for your doctor in this directory. If you can’t find your doctor, CALL Community or VISIT CommunityCares.com. We add new doctors all the time. • Ask about special office hours. Many of our Providers have walk-in and after-hours appointments. • Choose a doctor who meets your needs. The list tells you what languages each doctor speaks. • Pick a Primary Care Provider or OB/GYN for each member of your family. • Call Community if you need help picking a Primary Care Provider. We can help you! SERVICES THAT DO NOT NEED A PRIMARY CARE PROVIDER REFERRAL • Emergency care • Visits to your Community Health Choice OB/GYN for checkups, family planning, and maternity care • Behavioral and mental health care • Care for drug and alcohol problems • Texas Health Steps checkups and dental care for children • Early Childhood Intervention (ECI) services If you have questions about home healthcare, durable medical equipment or MORE INFORMATION other specialized services, call Community For more information about the pharmacies, hospitals, at these numbers. specialists, and other Providers in Community’s network, call us toll-free at 1.888.760.2600 or look on our Web site at CommunityCares.com. 1.888.76 0. 2600 PICKING AN OB/GYN 713.295.2294 Community Female Members can go to any OB/GYN doctor listed in this directory. You do not need a referral from your Don’t see your doctor in this book or Primary Care Provider to see your OB/GYN for routine checkups on our Web site? Ask your doctor to join or maternity care. If you do not see your OB/GYN listed, CALL Community! Community today! 4 BACK DECEMBER/DECIEMBRE 2017 OBTENGA EL MAXIMO BENEFICIO DE SU MEMBRESÍA CÓMO ESCOGER A UN DOCTOR/PROVEEDOR DE SERVICIOS QUE NO REQUIEREN UNA REFERENCIA DE SU CUIDADO PRIMARIO PROVEEDOR DE CUIDADO PRIMARIO Cuando escoge a Community Health Choice, Inc. (Community) • Atención de emergencia como su plan de salud, usted escoge a su propio doctor, llamado • Visitas a su gineco-obstetra de Community Health Proveedor de Cuidado Primario. A continuación hay unas Choice para exámenes, planificación familiar y atención sugerencias para ayudarle a escoger su Proveedor de Cuidado de maternidad Primario: • Salud mental y abuso de sustancias • Busque a su doctor en este directorio. Si no encuentra • Atención para problemas de drogas y alcohol el nombre de su doctor, LLAME A Community o VISITE CommunityCares.com. Agregamos nuevos médicos • Pasos Sanos de Texas para niños (exámenes y cuidado continuamente. dental) • Pregunte sobre las horas de consulta especiales. • Servicios del Programa de Intervención Temprana en la Muchos de nuestros Proveedores ofrecen atención sin Infancia (ECI) cita y después de las horas normales de consulta. • Escoja a un doctor que satisfaga sus necesidades. La lista indica qué idiomas habla cada médico. • Escoja a un Proveedor de Cuidado Primario o a un gineco-obstetra para cada miembro de su familia. • Llame a Community si necesita ayuda para escoger a un Proveedor de Cuidado Primario. ¡Podemos ayudarle! MÁS INFORMACIÓN Para más información sobre las farmacias, hospitales, especialistas y otros Proveedores de la red de Community, llámenos gratis al 1.888.760.2600 o busca en nuestro sitio web CommunityCares.com. SELECCIÓN DE UN GINECO-OBSTETRA Las mujeres inscritas en Community pueden ir a cualquier gineco-obstetra que esté en este directorio. No necesita un envío a servicios de su Proveedor de Cuidado Primario para ver a su gineco-obstetra para un examen periódico o para servicios de maternidad. ¡Si no ve en la lista a su gineco-obstetra, LLAME A Community! Si tiene alguna pregunta sobre atención médica en casa, equipo médico duradero, proveedores auxiliaries o otros servicios especializados, llame a Community a estos numeros. 1.888.76 0. 2600 713.295.2294 ¿No ve a su doctor en este directorio ni en nuestro sitio web? ¡Pidale a su doctor que se una con Community hoy mismo! BACK 5 DECEMBER/DECIEMBRE 2017 ABBREVIATIONS AND ABREVIATURAS E ADDITIONAL INFORMATION INFORMACIÓN ADICIONAL OFFICE HOURS/DAYS OF OPERATION HORARIO DE CONSULTAS/DÍAS DE OPERACIÓN Provider offices are open Monday through Friday, Los consultorios de los Proveedores están abiertos from 8:00 a.m. – 5:00 p.m., unless otherwise noted. de lunes a viernes, de 8:00 a.m. – 5:00 p.m., salvo que se indique lo contrario. SYMBOLS SÍMBOLOS Texas Health Steps Provider Proveedor de Pasos Sanos de Texas Current Patients Only Solo aceptan pacientes existentes Walk-ins accepted – no appointment needed Se aceptan pacientes sin cita previa Designated children’s hospital or Hospital infantil designado u hospital with specialized pediatric services hospital con servicios pedriátricos especializados Level III Birthing Center Centro de maternidad Nivel III DME Pharmacy DME Farmacia 24-Hour Pharmacy 24-Horas Farmacia PROVIDER LANGUAGES IDIOMAS DEL PROVEEDOR Provider offices speak English.
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  • 1-866-959-6555 Call Toll-Free

    1-866-959-6555 Call Toll-Free

    1-866-959-6555 CALL TOLL-FREE TOLL-FREE CALL Member Services/Servicios para Miembros CHIP and CHIP Perinatal Directory of Doctors and Hospitals 1-866-959-6555 | LLAME GRATIS For Harris Service Delivery Area and Surrounding Service Areas Behavioral Health and Substance Abuse/Salud mental y abuso de sustancias 1-800-731-8528 Envolve Vision Directorio de Doctores y Hospitales de CHIP y CHIP Perinatal 1-844-520-3711 Del área de prestación de servicios del condado de Harris y áreas de servicio vecinas 24-hour Nurse Help Line/Línea de Ayuda de Enfermeras las 24 Horas 1-800-686-3831 de prestación de servicios el área de Harris de servicios y áreas Para circundantes y Hospitales de de Doctores Directorio Harris ServiceFor Service Areas Delivery Surrounding and Area CHIP and Perinatal texaschildrenshealthplan.org Value-added services Servicios adicionales Value-added services are extra benefits you Los servicios de valor agregado son beneficios receive as a member of Texas Children’s Health adicionales que recibe como miembro de Plan. To find out about more value-added Texas Children’s Health Plan. Para obtener services, call 1-866-959-6555. más información sobre los servicios de valor and Hospitals of Doctors Directory agregado llame al . • 24-hour nurse help line 1-866-959-6555 • Línea de ayuda de enfermería las 24 horas • Extra help with getting a ride • Ayuda adicional para obtener transportación • School and sports physicals • Exámenes físicos para escuelas y deportes • Help for members with asthma CHIP and Perinatal • Ayuda para miembros con asma • Childbirth Education Program classes • Clases del programa de educación de • Personal health coach and weight loss preparación para el parto program • Entrenador personal de salud y programa • Soccer clinics para perder peso • Talleres de fútbol CALL TOLL-FREE | LLAME GRATIS CALL TOLL-FREE | LLAME GRATIS 1-866-959-6555 HA7M-C- 1-866-959-6555 0120 HA7M-C-0120 © 2019 Texas Children’s Health Plan.
  • RHP Plan Update Provider Form

    RHP Plan Update Provider Form

    RHP Plan Update Provider Form This page provides high-level information on the various inputs that a user will find within this template. Cell Background Description Sample Text Required user input cell, that is necessary for successful completion Sample Text Pre-populated cell that a user CANNOT edit Sample Text Pre-populated cell that a user CAN edit Sample Text Optional user input cell DY7-8 Provider RHP Plan Update Template - Provider Entry Progress Indicators Section 1: Performing Provider Information Complete Section 2: Lead Contact Information Complete Section 3: Optional Withdrawal From DSRIP Complete Section 4: Performing Provider Overview Complete Section 5: DY7-8 DSRIP Total Valuation Complete Section 1: Performing Provider Information RHP: 3 TPI and Performing Provider Name: 137949705 - Houston Methodist Hospital Performing Provider Type: Hospital Ownership: Private TIN: 17411801552007 Physical Street Address: 6565 Fanin Street City: Houston Zip: 77030 Primary County: Harris Additional counties being served (optional): y yp y p ; , p y y p Section 2: Lead Contact Information Lead Contact 1 Lead Contact 2 Lead Contact 3 Contact Name: Carolyn Belk Heather Chung Ekta Patel 6560 Fannin Street, Scurlock Suite 6560 Fannin, Scurlock Tower,Suite Street Address: 1707 Sunset Blvd. 1562 1562 City: Houston Houston Houston Zip: 77005 77030 77030 Email: [email protected] [email protected] [email protected] Phone Number: 832-667-5883 281-755-5391 (832) 696-3938 Phone Extension: Lead Contact or Both: Both Both Both Please note that a contact designated "Lead Contact" will be included in the RHP Plan and on the DSRIP Provider Distribution List. A contact designated as "Both" will be included in the RHP Plan, on the DSRIP Provider Distribution List, and will be given access to the DSRIP Online Reporting System.