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Medicaid Managed Care Rollout Continues in Rural Areas

Health Care

The Health and Human Services Commission plans to mail STAR Medicaid managed care enrollment packets around the third week in May to people in six Medicaid waivers (listed below) in 164 rural counties in west, central and northeast Texas. These individuals or their legally authorized representative need to choose a health plan by a date to be set in June, with enrollment effective on July 1.

Emergency Room Entrance

STAR provides acute health care only, which is short-term medical treatment such as office visits to their doctor, prescription drugs, emergency room and inpatient hospital visits. Photo: MorgueFile.

While the STAR program expanded into these rural counties on March 1, some Medicaid recipients were given the opportunity to delay their participation in managed care to allow them more time to understand how it works. This includes some individuals who already chose a health plan. STAR provides acute health care only, which is short-term medical treatment such as office visits to their doctor, prescription drugs, emergency room and inpatient hospital visits. It does not replace any services provided through Medicaid waiver programs under the Department of Aging and Disability Services.

In the meantime, HHSC continues to provide training on managed care across the state, with events listed at Texas Medicaid Events. Specialized education and outreach is also planned for the individuals in the six Medicaid waiver programs to make sure they understand the STAR program. HHSC indicated that this training will be provided in a manner that is convenient for individuals and LARs, including going to individual’s homes if needed.

The six waiver programs involved are:

  • Community Based Alternatives (CBA);
  • Community Living Assistance and Supports Services (CLASS);
  • Deaf Blind with Multiple Disabilities (DBMD);
  • Home and Community-based Services (HCS);
  • Medically Dependent Children Program (MDCP); and
  • Texas Home Living (TxHmL).

See more details on Letters to DADS Services Providers on the HHS website.

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