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Member materials and forms

Here, you’ll find the info and forms you need to get the most from your plan.

Member materials

STAR (Medicaid) member handbook ― English (PDF) | Spanish (PDF)

STAR Kids member handbook ― English (PDF) | Spanish (PDF)

Children’s Health Insurance Program (CHIP) member handbook ― English (PDF) | Spanish (PDF)

Managed care terminology ― English (PDF) | Spanish (PDF)

Consumer directed services (CDS) brochure ― English (PDF) | Spanish (PDF)

Medicaid fraud notice ― English (PDF) | Spanish (PDF)

Adoption Assistance and Permanency Care Assistance (AAPCA) member welcome letter

Forms

Authorization to release protected health information (PHI) (PDF)

Authorization to release psychotherapy notes (PDF)

Fraud, waste and abuse form

Complaint and appeal form

State fair hearing form