Do more for your family with RightCare's extra member benefits

Program Overview

RightCare from Scott and White Health Plan provides STAR Medicaid services in the Medicaid Rural Service Area – Central Texas. STAR is managed care Medicaid. You pick a medical plan that provides your Medicaid services and a main doctor that is your point of contact for Medicaid services. In addition to your main doctor, each plan has a large group of specialists, therapists, clinics, and hospitals that can provide you with Medicaid services.

Background

Availability of Materials in Alternate Formats

If you need any RightCare Materials in a different format such as audio, large print, braille, or in a language other than English and Spanish; contact RightCare Member Services.

OIG Website Link:

Report Waste, Abuse, or Fraud to the Inspector General

Important Phone Numbers

Member Services

If you have questions, call us at 1-855-TX-RIGHT. Our staff is bilingual in English and Spanish. If you speak another language or are hearing impaired, call Member Services at 1-855-TX-RIGHT (TTY 7-1-1) for help.

Regular Business Hours: Monday to Friday, 8 a.m. to 5 p.m. Central Time (except for state-approved holidays). If a medical condition is life-threatening, members should go to the emergency room. If the medical condition is non-life-threatening you can seek care at an urgent care facility or get urgent medical care from your primary care provider (PCP) within 24 hours.

If you call after hours, please leave us a message. We return all calls the next business day.

Provider Services Hotline

If you have questions, call us at 1-855-TX-RIGHT. Regular Business Hours: Monday to Friday, 8 a.m. to 5 p.m. Central Time (except for state-approved holidays). Provider can call to verify eligibility and claim inquiries.

Behavioral Health Hotline Number

If you need mental health or substance abuse services, you can call a Behavioral Health Case Manager at 1-855-395-9652. Behavioral Health Services are private so you do not need permission from your PCP to get these services. If you are in crisis, you can call the behavioral health crisis line anytime 24 hours a day, 7 days a week, you will not get a recording. Our staff is bilingual in English and Spanish. If you need, we can arrange for an interpreter to help you. If a medical condition is life-threatening, members should go to the emergency room. If the medical condition is non-life-threatening you can seek care at an urgent care facility or get urgent medical care from your primary care provider (PCP) within 24 hours.

STAR Program Help Line (Enrollment Broker)

Fair Hearing

If you, as a member of the health plan, disagree with the health plan’s decision, you have the right to ask for a fair hearing only after exhausting the MCO Internal Appeal System provided by RightCare. Members may ask for a State Fair Hearing by contacting us toll-free at 855-897-4448 (1-855-TX-RIGHT). RightCare’s Member Services can help you file a fair hearing.

Subcontractor Information

RightCare uses the following subcontractors to provide members and providers the best experience:

• Prescription Benefits Manager: Navitus Health Solutions: (www.navitus.com) (1-855-897-4448)

• Vision: Superior Vision (www.superiorvision.com) (1-800-879-6901)

Office of Consumer Credit Commissioner