Forms and Documents

These forms and documents are available as PDF files. Just click on a form or document to download it. To view these files, you may need to install a PDF reader program. One option is Adobe® Reader®; this can be downloaded free of charge at Adobe's site.

Handbook and Directories

If you need a printed copy of our member handbook, provider directory or other materials that will help you better understand your benefits, please call Customer Service. Your request will be fulfilled at no cost within five business days.

STAR Member Handbook
Provider Directory
Pharmacy Directory
Drug List (Formulary)
Dental Provider Directory (adult STAR members only)
Benefit Resource Guide


Appeal Request Form
Complaint Form
Fair Hearing Request Form
Prenatal Incentive Options (Car Seat or Pack and Play) Form
Primary Care Provider (PCP) Selection Form
Request to Access PHI Form
Text and Email Messages Permission Form

Value-Added Services and Program Brochures

Blue Access for MembersSM Brochure
Value-Added Services Brochure
Transportation Benefit Brochure
Care Coordination Brochure
Farmworkers Brochure
Special Beginnings Brochure
Value-Added Dental Services Brochure

LifeTimes Newsletter

Summer 2023
Spring 2023
Winter 2022
Fall 2022

Important Notices

Annual Notices and CAHPS Survey Results
Preventive Health Guidelines*
HIPAA Notice of Privacy Practices
Your Rights for an Appeal of an Adverse Determination

Find additional prescription drug forms here.

Additional Resources

Texas Health and Human Services Commission
Texas Department of State Health Services
Texas Department of Family and Protective Services
Texas Department of State Health Services, Women, Infants, and Children Program (WIC)
Texas Juvenile Justice Department
Children Advocacy Centers of Texas, Inc.
Your Texas Benefits, from the Texas Health and Human Services Commission
Healthy Texas Women

* In addition to the preventive health guidelines, clinical guidelines are available upon request. Call customer service at 1-888-657-6061 (TTY: 711) to request a copy.

Find a Doctor or Hospital

Use our Provider Finder® to search for doctors and pharmacies near you.

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