NEW DEVELOPMENTS
STAR Kids is a new Texas Medicaid managed care program that will provide Medicaid benefits to children and adults 20 and younger who have disabilities. Participation in the STAR Kids program is required for those who are 20 or younger, covered by Medicaid, and meet at least one of the following:
- Get Supplemental Security Income (SSI).
- Get SSI and Medicare.
- Get services through the Medically Dependent Children Program (MDCP) waiver.
- Get services through the Youth Empowerment Services (YES) waiver.
- Live in a community-based intermediate care facility for individuals with an intellectual disability or related condition (ICF/IID) or nursing facility.
- Get services through a Medicaid Buy-In program.
- Get services through any of the Health & Human Services (HHS) intellectual and developmental disability (IDD) waiver programs.
how is the care managed?
Managed care means that you will pick health plan that will provide the health services you need through a network of doctors, specialists, and other providers. Those enrolling in the STAR Kids program will choose a health plan, as well as a primary care physician or clinic who will provide basic medical services, like check-ups, and provide referrals to a specialist when needed.
BASIC MEDICAL BENEFITS & CARE COORDINATION
STAR Kids is designed to meet the unique needs of youth and children with disabilities. The program will provide benefits such as prescription drugs, hospital care, primary and specialty care, preventive care, personal care services, private duty nursing, and durable medical equipment and supplies. Children and youth who get additional services through MDCP will receive their MDCP services through STAR Kids.
Through STAR Kids, families will also receive help with coordinating care. Each health plan will provide service coordination, which will help identify needs and connect members to services and qualified providers. STAR Kids MCOs will assess each member's service needs, which will be used to help the family and the MCO create an individual service plan.
Through STAR Kids, families will also receive help with coordinating care. Each health plan will provide service coordination, which will help identify needs and connect members to services and qualified providers. STAR Kids MCOs will assess each member's service needs, which will be used to help the family and the MCO create an individual service plan.
our service areas
Each health service area in the state will have at least two health plans, or managed care organizations (MCOs), that will provide services through the STAR Kids program. We are in-network and provide care to members in the following service areas:
Tarrant Service Area (STAR Kids MCOs: Aetna & Cook Children's)
Dallas Service Area (STAR Kids MCOs: Amerigroup & Children's Medical Center)
Map of service areas for STAR, STAR Kids and STAR+PLUS (PDF) - this map shows which health plans will offer services in each region of the state.
Tarrant Service Area (STAR Kids MCOs: Aetna & Cook Children's)
- Tarrant
- Hood
- Parker
- Johnson
- Denton
- Wise
Dallas Service Area (STAR Kids MCOs: Amerigroup & Children's Medical Center)
- Dallas
- Ellis
- Collin
- Kaufman
- Rockwall
- Hunt
- Navarro
Map of service areas for STAR, STAR Kids and STAR+PLUS (PDF) - this map shows which health plans will offer services in each region of the state.
