Member materials and forms

You can get a printed copy of materials and forms in English or Spanish at no charge. We’ll send it to you within five days of your request. 

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

• STAR (Medicaid) (PDF)
• STAR Kids (PDF)

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 — English (PDF) | Spanish (PDF)