For Providers
As a Dell Children’s Health Plan provider, we value your role in providing quality healthcare to your patients, our members. Our role as a health plan is to provide you with the tools and resources you need to be successful.
If you cannot find what you need here on our website, please get in touch. You can contact our Provider Engagement department by email at shpproviderservices@seton.org.
As a provider, you may also access our provider portal to submit or check status of authorizations, submit or check status of claims and check eligibility for our members by going to https://secure.healthx.com/Provider_2022
Important phone numbers
- Behavioral health care (Magellan): 1-800-424-1764
- Service Coordination: 512-324-3015 or toll free 1-844-964-3015
- Member Services: 1-855-921-6284 (TTY 7-1-1)
- Navitus (pharmacy benefit manager): 1-877-908-6023
- Provider Services (claims status, eligibility and benefits): 1-844-781-2343
Monday through Friday from 7 a.m. to 7 p.m. Central time - Provider Relations: 512-324-3125, option 4
- Superior Vision of Texas: 1-877-235-5317 (provider services), 1-888-273-2121 (UM)
- Utilization Management (UM): 1-855-962-4453, clinical support 512-324-2325
- Access2Care (Transportation): 1-844-867-2742
- Network Contracting: 512-324-3125, option 5
- Demographic information update: SHPProviderServices@seton.org
- Community Outreach: 512-324-DCHP (3247)
Join our network!
If you would like to join the Dell Children’s Health Plan provider network, please email the contracting inbox at shpnetworkdevelopment@seton.org or call 512-324-3125, option 5.
Important Links
- Add a Provider to an Existing Group Contract
- Appointment Availability Standards
- Members Rights and Responsibilities
- Texas Medicaid & Healthcare Partnership
- Texas Health and Human Services Commission
- Texas Medicaid/CHIP Vendor Drug Program
- Magellan Tool Kit
- Clinical Practice Guidelines
Prior authorizations
- BH Prior Authorizations: magellanhealth.com
- Prior Authorization Forms for all other services
- Prior Authorization Requirements
- Prior Authorization Annual Review Report SFY2021
Pharmacy
Updating provider information with Dell Children's Health Plan
Please contact Provider Relations at SHPProviderServices@seton.org to make any changes to a provider’s address, phone number, group affiliation or other updates.
To providers: Please update your enrollment and demographic information with TMHP (Texas Medicaid Healthcare Partnership). TMHP is HHSC’s provider enrollment administrator and serves as the authoritative source for HHSC Providers’ enrollment and demographic information. Once you update your enrollment and demographic information with TMHP, your data will be reconciled with the demographic information on file with the MCOs. To make updates to your current enrollment (e.g., new practice locations or change of ownership updates), please access the web page titled “Provider Enrollment on the Portal – A Step-by-Step Guide”.
For instructions on how to make other demographic updates to your current enrollment, please access the document titled “Provider Information Management System (PIMS) User Guide”.
Otherwise, you can contact TMHP directly at 1-800-925-9126 for assistance.
