People in the Texas Department of Family and Protective Services (DPFS) Adoption Assistance or Permanency Care Assistance (AAPCA) programs will begin getting their Medicaid services through managed care beginning Sept. 1, 2017. People who get AAPCA services will still have the same Medicaid benefits under managed care as they do now.

In 2013, the 83rd Texas Legislature directed the Texas Health and Human Services Commission (HHSC) to move remaining people have Medicaid fee-for-service coverage to managed care.

Managed Care Programs

Most Adoption Assistance and Permanency Care Assistance clients will go into the STAR managed care program. Clients who receive Supplemental Security Income (SSI) and clients who have a disability as determined by the Social Security Administration or the State of Texas will go into the STAR Kids managed care program.

Clients who get services through a 1915(c) waiver and clients who get Medicare are already in STAR Kids.

View a video about Medicaid for Adoption Assistance and Permanency Care Assistance.


STAR is the managed care program most Texans on Medicaid get their services through. People in STAR get their basic medical services through a health plan.

Learn more about STAR


STAR Kids is a Texas Medicaid managed care program that provides Medicaid benefits through a health plan to children and adults 20 and younger who have disabilities. People who get AAPCA benefits who receive SSI and people who have a disability as determined by the Social Security Administration or the state of Texas will get their Medicaid benefits through the STAR Kids program.

Learn more about STAR Kids

Enrollment Materials

Beginning in May 2017, people who have AAPCA coverage will get information from HHSC about the upcoming transition to managed care, including information about picking a health plan.

To ensure you get enrollment materials in the mail, contact the DFPS regional adoption assistance eligibility specialist assigned to your case and verify the address they have for you on file. If you don't know who your eligibility specialist is, you can call the DFPS hotline at 1-800-233-3405.

Managed Care Organizations

The state is divided into 13 managed care service areas. Each service area has at least 2 health plans to pick from.

Additional Resources

Stakeholder Feedback

HHSC would like input from people who get services, family members, advocates and Medicaid providers. Send questions and comments by email to

Need Help with Medicaid?

Call the Office of the Ombudsman at 1-866-566-8989.