Parkland Community Health Plan
Parkland Community Health Plan is a Dallas-based, non-profit Texas Medicaid and CHIP managed care organization administering STAR, CHIP, and CHIP Perinate programs for low-income children, pregnant women, and families across seven North Texas counties.
- Company typePrivate
- Founded1999
- HeadquartersDallas, United States
- Headcount51–100
- GTM typeB2C
- OfferingServices
What Parkland Community Health Plan does
Parkland Community Health Plan (PCHP) is a Texas Medicaid and CHIP managed care organization established in 1999 and headquartered at 1341 W. Mockingbird Lane, Suite 400E, Dallas, Texas. The plan administers three core programs—STAR (Texas Medicaid for low-income children, pregnant women, and families), CHIP (children in families above Medicaid thresholds), and CHIP Perinate (unborn children of pregnant women ineligible for Medicaid)—across a seven-county North Texas service area. The provider network is anchored by affiliated health system Parkland Health and, per company materials, includes 'most major provider systems across the region' across a broad pediatric specialty roster. Revenue derives from capitation payments received from Texas HHSC for enrolled members; the plan does not set direct pricing because STAR Medicaid generally has no member cost-sharing and CHIP cost-sharing is set by HHSC guidelines.
The operating stack is built around a CMS-compliant Interoperability and Patient Access API (hosted on the HealthTranzform developer platform, with OneRecord as a launch partner giving members 5-year health data history with 90-day consent cycles) plus member and provider portals (provider portal powered by HealthX). Core benefit administration is outsourced to specialized vendors: pharmacy benefit management to Navitus Health Solutions under the Texas Vendor Drug Program, vision to Avēsis Third Party Administrators, nonemergency medical transportation to Access2Care, and care coordination to Vital Data Technology. Care management programs for chronic conditions such as asthma and diabetes sit alongside a broad Value-Added Services catalog (24-hour Nurse Line, free car seats, home-delivered meals, Boys & Girls Club allowance up to $100 annually, prenatal and well-child incentives).
The business model is government capitation with no pricing power and a single-payer concentration (Texas HHSC). Go-to-market is sales-led, leveraging provider referrals, community outreach, and Texas state Medicaid/CHIP eligibility processes rather than consumer marketing. The plan is NCQA-accredited with HEDIS compliance, HIPAA-compliant, and currently has no public funding events, no M&A activity, and no disclosed leadership changes; its most notable recent strategic positioning is the AIM-HI Initiative participation (one of eight organizations) alongside a deepening partnership with Parkland Center for Clinical Innovation, which operates 19 clinical AI models across multiple conditions.
Parkland Community Health Plan firmographics
Firmographics- Name
- Parkland Community Health Plan
- Legal name
- Parkland Community Health Plan
- Website
- https://parklandhealthplan.com
- Company type
- Private
- Founded year
- 1999
- Operating status
- Operating
- Headcount range
- 51–100 employees
- Short description
- Parkland Community Health Plan is a Dallas-based, non-profit Texas Medicaid and CHIP managed care organization administering STAR, CHIP, and CHIP Perinate programs for low-income children, pregnant women, and families across seven North Texas counties.
- Ownership category
- akta.pro rank
Parkland Community Health Plan industry classification
Industry- Product category
- Medicaid Managed Care
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- TANF/CHIP Managed Care Plans (HLAEAEAA)
- akta.pro secondary industries
- Managed Care Entity Administration for Medicaid (MCO/PHP/PIHP/PAHP) (HLAEAEAJ), Medicaid Vision Benefits (Managed Care) (HLAEAJAE), Medicaid/CHIP Dental & Vision Benefits Administration (FSAIAHAK)
Keywords
Where Parkland Community Health Plan is headquartered
LocationHeadquarters
- HQ city
- Dallas
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Parkland Community Health Plan business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Operations, Personnel, Supply Chain, Infrastructure, Technology or R&D, Marketing or Sales, Others
Revenue model
- Government Health Plan Premiums: PCHP receives capitation payments from Texas Medicaid (STAR) and CHIP programs to provide managed care coverage for eligible members. The plan administers benefits including medical, pharmacy, dental, vision, behavioral health, and transportation services. Revenue is generated through government health plan premiums based on enrolled member counts.
- Value-Added Services Administration: Administration of no-cost extras including 24-hour Nurse Line, free car seats, Boys & Girls Club allowances, home-delivered meals, and health education programs for STAR and CHIP members.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | STAR Medicaid - No cost coverage for eligible members |
| Subscription | Monthly | CHIP - Low-cost coverage for children |
| Subscription | Monthly | CHIP Perinate - Coverage for unborn children |
Go-to-market motion1 record
Distribution channels4 records
Marketing channels5 records
Parkland Community Health Plan product offering
Product offeringCore offering
Parkland Community Health Plan is a Texas Medicaid and CHIP managed care organization that administers STAR, CHIP, and CHIP Perinate health coverage for low-income children, pregnant women, and families in a seven-county North Texas service area. The plan manages a regional provider network anchored by Parkland Health and delivers medical, behavioral health, dental, vision, pharmacy, transportation, and care management benefits through member and provider digital portals.
Product overview
Parkland Community Health Plan (PCHP) is a managed care organization offering a unified health coverage platform through three core programs: STAR (Texas Medicaid), CHIP (Children's Health Insurance Program), and CHIP Perinate. The plan operates across seven North Texas counties with an integrated network including Parkland Health and major regional provider systems. The core offerings are supported by member and provider digital portals for claims management, eligibility verification, and prior authorizations. Add-on services include telehealth, behavioral health, dental, vision, pharmacy (via Navitus Health Solutions), and nonemergency medical transportation (via Access2Care). PCHP also provides care management programs for chronic conditions like asthma and diabetes, plus value-added services such as a 24-hour nurse line, free car seats, and Boys & Girls Club allowances. Vision services are administered through Avēsis Third Party Administrators.
Differentiator
Problem solved
Functional benefit
Products and services
- STAR Medicaid Program
- CHIP (Children's Health Insurance Program)
- CHIP Perinate
- Behavioral Health Services
- Dental Services
- Vision Services
- Pharmacy / Rx Services
- Telehealth Services
- Nonemergency Medical Transportation (NEMT)
- Care Management Program
- Asthma and Diabetes Support Program
- Value-Added Services
Companies that use Parkland Community Health Plan
Customer profileNamed customers3 records
Segments4 records
Ideal customer profiles4 records
Parkland Community Health Plan technology and API
TechnologyTechnology focussed No
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration9 records
AI capability2 records
Feature4 records
Parkland Community Health Plan partnerships and signals
Strategic signalPartnerships
Six partnerships are on record, tiered core and minor.
- Parkland HealthcorePrimary affiliated health system providing care to PCHP members. Parkland Health is a major component of the provider network serving members across the seven-county service area in North Texas.
- Navitus Health Solutions LLCcorePharmacy Benefit Manager (PBM) contracted to provide prescription drug benefits to PCHP members. Manages formulary, prior authorizations, mail order, and 72-hour emergency fills under Texas Vendor Drug Program guidelines.
- Avēsis Third Party Administrators, Inc.coreContracted administrator for eye care benefits for Texas STAR (Medicaid) and CHIP members. Manages vision claims, pre-authorizations, provider credentialing, and member services for vision benefits.
- Access2CarecoreNonemergency medical transportation (NEMT) provider for STAR Medicaid members. Provides transportation to medical appointments including public transit, gas money, taxi/van services, and commercial transit options.
- AIM-HI Initiative ConsortiumminorAugmented Intelligence in Medicine and Health Care Initiative consortium including The Permanente Medical Group, Cedars-Sinai, Emory University, Vanderbilt University Medical Center, San Ysidro Health, and Sutter Health. PCHP presenting pediatric asthma AI model projects.
- Parkland Center for Clinical Innovation (PCCI)coreNonprofit affiliated with Parkland Health developing clinical AI models. PCCI has developed 19 clinical AI models generating 34.9 million patient predictions across conditions including pediatric asthma, HIV, sepsis, and colorectal cancer.
Scale indicators3 records
Recent moves6 records
Expansion highlights5 records
Parkland Community Health Plan competitors and assessment
Company assessmentMarket position
Competitive moat5 records
Key highlights7 records
Customer concentration
Parkland Community Health Plan compliance and trust
Trust signalCompliance5 records
Parkland Community Health Plan financial estimates
Financial estimateRevenue estimate
Valuation estimate
Parkland Community Health Plan leadership team
Management profileNumber of profiles
Profiles1 record
Parkland Community Health Plan funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Parkland Community Health Plan M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Parkland Community Health Plan
What does Parkland Community Health Plan do?
Parkland Community Health Plan is a Texas Medicaid and CHIP managed care organization that administers STAR, CHIP, and CHIP Perinate health coverage for low-income children, pregnant women, and families in a seven-county North Texas service area. The plan manages a regional provider network anchored by Parkland Health and delivers medical, behavioral health, dental, vision, pharmacy, transportation, and care management benefits through member and provider digital portals.
Is Parkland Community Health Plan a public or private company?
Parkland Community Health Plan is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was Parkland Community Health Plan founded?
Parkland Community Health Plan was founded in 1999. It employs 51 to 100 people.
Where is Parkland Community Health Plan based?
Parkland Community Health Plan is headquartered in Dallas, United States, in the North America region.
How does Parkland Community Health Plan make money?
Two revenue lines are on record. Government Health Plan Premiums are the primary driver. The others are value-Added Services Administration.
Does Parkland Community Health Plan have an API?
Yes. Parkland Community Health Plan offers interoperability services through a third-party developer API, allowing approved applications to access member health information including claims, lab results, and medication data. Third-party developers must register and complete an attestation process to connect to PCHP systems. Members can access their health data through approved third-party apps like OneRecord, with data available up to 5 years old and refreshed within 24 hours per CMS guidelines. Developer documentation is at prodprktzinterop.developer.healthtranzformdev.com.
What industry is Parkland Community Health Plan in?
Parkland Community Health Plan's product category is Medicaid Managed Care. Its primary akta.pro industry code is HLAEAEAA, TANF/CHIP Managed Care Plans, with a secondary code of HLAEAEAJ, Managed Care Entity Administration for Medicaid (MCO/PHP/PIHP/PAHP). Its SIC code is 6324.