PCHP Behavioral Health

The Parkland Community Health Plan Behavioral Health team manages the delivery of mental health and substance use disorder services for the Children’s Health Insurance Program (CHIP) and the Medicaid State of Texas Access Reform (STAR) program. 

Behavioral health encompasses both acute and chronic psychiatric and substance use disorders as referenced in the most recent Diagnostic and Statistical Manual of Mental Disorders (DSM) of the American Psychiatric Association.  

Primary care health providers including physician health providers may offer behavioral health treatment to PCHP members within the scope of their practice and may also recommend that patients seek behavioral health services provided by behavioral health providers. Members do not require referrals in order to access covered behavioral health services.

PCHP Behavioral Health Services
1-888-672-2277 (STAR Medicaid)
1-888-814-2352 (CHIP)
844-266-2064 Fax

PCHP Behavioral Health Crisis Line
Connect members to emergency support. Available 24/7.
1-844-603-1134

When assessing PCHP members for behavioral health conditions, primary care health providers must use the DSM-5 multi-axial classifications and other assessment instruments, or outcome measures required by HHSC.  

Participating providers must comply with the PCHP Clinical Practice Guidelines and the PCHP Provider Manual. 

Prior Authorizations 

Prior Authorization (PA) is the review for medical necessity of healthcare services, behavioral health services, medical equipment, and supplies. It is required for outpatient services, out-of-network providers, and planned hospital admissions. Please verify member eligibility and benefit coverage prior to rendering services.

You can use our online Prior Authorization Lookup Tool to search whether codes need authorization.

NOTE: Behavioral Health benefits are not covered for members eligible under the CHIP Perinate program.

Use the PCHP Provider Portal to:

• Submit claims and/or prior authorizations
• Check claim or prior authorization status
• Correct claims
• Submit grievances and appeals
• View provider-related documents
• Review remittance advice – EOP
• View member eligibility/plan benefits