HSConnect Claims Portal

Providers can upload UB04 claims, submit CMS 1500 claims, batch submission, submit corrected claims, appeals, view ERAs, and export reports.

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Abuse, Neglect, or Exploitation online training is available.

This training is designed to meet the basic ANE training requirements for staff providing direct care in a community setting. By the end of the training, staff should be able to identify which acts constitute ANE, how to recognize ANE, understand risk factors for ANE, and what methods can be used to address ANE. Additionally, this training includes an introduction to trauma and its impact on the people we serve.

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“Blue Button” Accesses Patient Medical Histories

Medicaid providers can now find their patients’ medical histories on YourTexasBenefitsCard.com by accessing the new “Blue Button” functionality.

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COVID-19 Information and Resources

The U.S. Department of Health and Human Services (HHS) recently encouraged eligible providers to apply for the Coronavirus Aid, Relief, and Economic Security Act (CARES) Act Provider Relief Fund, which was expected to distribute $15 billion to eligible providers. On July 17, HHS announced that it will begin distributing an additional $10 billion in a second round of high impact COVID-19 area funding to hospitals. Additionally, HHS announced that it is extending the Medicaid and CHIP Provider Relief Fund distribution provider application deadline to apply to September 13, 2020.

In June, HHS announced the opening of the application period, as well as plans to distribute approximately $15 billion to eligible providers that participate in state Medicaid and CHIP programs but had not yet received a payment from the $50 billion general distribution.

HHS has hosted a number of webinars targeted at providers and provider organizations to answer questions and assist those eligible through the application process. For more information about the application process, please review the Provider Relief Fund: Medicaid and CHIP Provider Distribution (https://www.hhs.gov/sites/default/files/provider-relief-fund-medicaid-chip-factsheet.pdf).

HHSC Notifications

Electronic Visit Verification Initiative Information

General Updates

Welcome to the Cigna STAR+PLUS Plan

Cigna's Medicare and Medicaid business is one of the country’s largest and fastest-growing coordinated care plans whose primary focus is Medicare Advantage plans. Cigna has Medicare Advantage plans in Alabama, Arizona, Arkansas, Colorado, Delaware, Florida, Georgia, Illinois, Kansas, Maryland, Mississippi, Missouri, New Jersey, North Carolina, Pennsylvania, South Carolina, Tennessee, Texas, and Washington DC, as well as a national stand-alone prescription drug plan. Given our long partnership with dual-eligible beneficiaries, we are very excited to offer services to our valued members by expanding into Medicaid health care across many states.

We value our relationship with all of our Providers and are committed to working with you to meet the needs of your patients, our Members. Discover the Cigna difference and learn more about our Medicaid plans.

Cigna recognizes the immeasurable contribution that you, as a Provider, make to the STAR+PLUS program. To ensure you have access to all of the resources and tools needed to support Cigna Members, Cigna's Provider Services team is available. Provider Services can assist you when you have questions or need to schedule an educational in-service. They also can assist you when daily operations do not go as planned and you need help resolving a problem.

  • Verify eligibility, benefits, and prior authorizations on file
  • Receive assistance in finding the correct departments
  • Verify claims receipt or review claim status
  • Process demographic changes such as PCP on file, and member or provider address changes
  • Receive assistance with Cigna's public website & secure Provider Portal

We are here to serve you, and we thank you for being a part of the Cigna STAR+PLUS Network and for providing quality health care to our members.

Not Yet a Cigna STAR+PLUS Provider?

If you are not a Cigna STAR+PLUS Provider, but you are interested in joining our network, please fill out the appropriate form below. For additional information contact us by phone or e-mail at: STAR+PLUS Provider Support Team via telephone at 1 (877) 653-0331 or via email MedicaidProviderOperations@healthspring.com.

Is your office ADA compliant? Please complete the Credentialing/Provider Directory Information form.

Fax completed forms and requested documents to 1 (877) 440-7260.

Materials are also published in alternate formats (examples: large print, Braille, audio CD).

Contact ProviderRelationsCentral@healthspring.com for more information.

Credentialing Information for ALL Provider Types

Provider Services

Call: 1 (877) 653-0331 - Monday - Friday 8:00 am - 5:00 pm Central Time. Calls to this number are free.

TTY: 711 - Monday - Friday 8:00 am - 5:00 Central Time. This number requires special telephone equipment and is only for people who have difficulties with hearing or speaking. Calls to this number are free.

Provider Relations

You can contact Provider Relations by emailing: ProviderRelationsCentral@healthspring.com

Member Rights and Responsibilities

Read more about the rights afforded members and the responsibilities they have as part of the plan.

Provider Advisory Council

The purpose of the Provider Advisory Council (PAC) is to bring leaders in the provider community together with senior management of Cigna to discuss issues important to the STAR+PLUS program. The PAC meets quarterly with the leaders of your organization. Together, we can:

  • Understand how managed care impacts provider business operations – and ways that Cigna can ease operational burdens.
  • Learn how providers – hospitals, physicians, long-term services and supports, ancillary, and pharmacy providers – can work together to improve clinical outcomes for our members and your patients.
  • Develop industry-leading provider and member initiatives that measurably impact quality outcomes for Cigna members and reward providers for working together to achieve those goals.

Cigna will establish and conduct quarterly meetings with Network Providers. Membership in the Provider Advisory Council(s) must include, at a minimum, acute, community-based LTSS, and pharmacy providers. A separate Provider Advisory Council will be established in each Service Delivery Area where Cigna operates. Membership on the Council will be in staggered 2-year terms. Cigna attendees will include representation from Provider Relations, Health Services, and Service Coordination.

To become a part of the Provider Advisory Council, please contact Provider Relations Central at: ProviderRelationsCentral@healthspring.com