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Important Phone Numbers


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) 7 a.m. to 7 p.m. CT, Monday to Friday (except state-approved holidays) TTY: 711.


Service Coordination 1-855-897-4448

Behavioral Health Case Management 1-855-395-9652

24-Hour Nurse Line

Need care advice? Have a medical question? Not sure if you should see a doctor? For non-emergency symptoms and health or treatment questions, RightCareMembers have access to talk with a nurse 24 hours a day, every day. Get the information you need any time of the day or night by calling 1-855-828-1013. Information is available in English and Spanish. Interpreter services available upon request. TTY users can call 7-1-1.

Compliance Hotline

Report Fraud, Waste & Abuse 1-888-484-6977

Behavioral Health Crisis Hotline (24/7)


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

United Dental: 1-877-901-7321

Phone Numbers for Providers

SWHP Provider Relations Representative Territory Map

SWHP Provider Relations Representative Territory Map

Provider Relations (including claims questions)

1-855-TX-RIGHT(897-4448) 8 a.m. to 5 p.m. CT, Monday to Friday (except state-approved holidays)

Prior Authorizations and Notifications

RightCare: 1-855-691-7947

Pharmacy: 1-877-908-6023

Behavioral Health: 1-855-395-9652

Eligibility Verification (IVR Line)


Compliance Hotline


Additional Helpful Phone Numbers

Ombudsman Managed Care Assistance Team

1-866-566-8989TTY: 711

MAXIMUS – Enrollment Broker


Eligibility Verification (IVR) Line


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:


Office of the Inspector General Hotline (OIG)


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

Department of Family and Protective Services


Nonemergency Medical Transportation (NEMT)

Call us 48 hours before at 1-877-447-3101(TTY 711) or download the Access2Care (A2C) app.

WIC (Women, Infants and Children Nutrition Program)