Here’s a handy list of numbers for all RightCare member services. You can also find this list in your member handbook.
Phone Numbers for Members
Member Services
Our Member Services staff is here to help you.
We have staff available who speak English or Spanish. If you need, we can arrange for an interpreter to help you. 1-855-TX-RIGHT (
1-855-897-4448) 8 a.m. to 5 p.m. Central Time, Monday to Friday (except for state-approved holidays) TTY:
7-1-1 Medical
Case Management 1-855-691-7947, Option 2 Behavioral Health Case Management
1-855-395-9652 Compliance Hotline
Report Fraud, Waste & Abuse
1-888-484-6977 Behavioral Health Crisis Hotline (24/7)
1-844-436-8781 Vision Benefits Information
Superior/Block Vision:
1-800-879-6901 Dental Benefits Information
DentaQuest:
1-800-516-0165 MCNA Dental:
1-800-494-6262 Liberty Dental (value-added service for pregnant women):
1-877-550-4374 Phone Numbers for Providers
SWHP Provider Relations Representative Territory Map Provider Relations (including claims questions)
1-855-TX-RIGHT (
1-855-897-4448) 8 a.m. to 5 p.m. Central Time, Monday to Friday (except for state-approved holidays)
Prior Authorizations and Notifications
RightCare:
1-855-691-7947 Pharmacy:
1-877-908-6023 Behavioral Health:
1-855-395-9652 1-855-691-7947, Option 2 Eligibility Verification (IVR Line)
1-800-925-9126 Compliance Hotline
1-888-484-6977 Additional Helpful Phone Numbers
Ombudsman Managed Care Assistance Team
1-866-566-8989 TTY:
7-1-1 STAR Helpline
1-800-335-8957 MAXIMUS – Enrollment Broker
1-800-964-2777 Eligibility Verification (IVR) Line
1-855-897-4448 Early Childhood Intervention (ECI)
A state program for families with children, birth to age 3, who have disabilities or are delayed. It supports families to help their children reach their potential. ECI Care Line:
1-800-628-5115 DARS (Department of Assistive and Rehabilitative Services) Inquiries Line:
1-800-252-5204 Office of the Inspector General Hotline (OIG)
1-800-436-6184 Fraud, waste, and abuse harms us all. If you think a doctor, other provider, or a person who gets benefits is misusing state benefits. Call the HHSC Inspector General Integrity Line at 1-800-436-6184 or report it online at oig.hhsc.texas.gov Department of Family and Protective Services
1-800-252-5400 Medical Transportation Program (MTP)
A state program that provides eligible RightCare members with free rides for visits to the dentist, pharmacy, and anywhere else you get Medicaid services.
1-877-633-8747 WIC (Women, Infants and Children Nutrition Program)
1-800-942-3678