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)
• STAR (Medicaid) member handbook ― Spanish (PDF)
  
  
• STAR Kids member handbook ― English (PDF)
• STAR Kids member handbook ― Spanish (PDF)
  
  
• Children’s Health Insurance Program (CHIP) member handbook ― English (PDF)
• Children’s Health Insurance Program (CHIP) member handbook ― Spanish (PDF)
  
  
• Managed care terminology ― English (PDF)
• Managed care terminology ― Spanish (PDF)
  
  
• Consumer directed services (CDS) brochure  ― English (PDF)
• Consumer directed services (CDS) brochure  ― Spanish (PDF)
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• Medicaid fraud notice ― English (PDF)
• Medicaid fraud notice ― 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)
• State fair hearing form — Spanish (PDF)