Medicaid 1-800-335-8957 and 1-800-252-8263
Children with Special Health Care Needs (CSHCN) Services Program 1-877-888-2350
The Client Hotline handles client issues pertaining to the status of
Medically Needy cases, billing questions, and program benefits, as well
as contact information for the Medical Transportation Program, THSteps services,
and for HIPAA privacy violations.
Client Notification: 1-800-414-3406
This line offers clients assistance with an authorization request that has been
modified or denied for one of the following reasons: meeting medical necessity
criteria, incomplete requests, submission guidelines, or lacking Federal
Financial Participation. The agents are responsible for educating the client on
the review process when a prior authorization has been denied. They will also
gather the required documentation to be reviewed during the Fair Hearing.
This line is provided to assist clients by offering an explanation on HIPAA
Certificates. These certificates are provided to inform clients that their
Medicaid coverage has ended. A replacement certificate can be requested if