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. Central Time, Monday to Friday (except for state-approved holidays) TTY:
711
Medical
Case Management 1-855-691-7947
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
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:
711
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
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)
1-800-942-3678