Filter by content type:

Medicaid & CHIP Services Information for People Receiving Services
Español Medicaid recipients who have renewals due during the pandemic ... for Disease Control (CDC) and Texas Department of State Health Services (DSHS) for information on the coronavirus, ...

Texas Medicaid & CHIP - Uniform Managed Care Manual
... 2.1 - Uniform Billing for STAR+PLUS 2.1.1 - Long Term Services and Supports Billing (withdrawn 3/20/15) 2.1.2 - ... Claims Manual 2.3 - Nursing Facility Claims Manual 2.4 - Medicaid National Correct Coding Initiative Requirements ... Care Management Member ID (withdrawn 9/10/09) 3.13 - STAR Health Provider Directory 3.14 - STAR Health Provider Manual ...

A-800, Medicaid Eligibility
... October 1, 2016   Medical Programs Applicants may receive Medicaid during the three-month period before the month they ... through the Texas Department of Family and Protective Services (DFPS). DFPS works with the Interstate Compact on ... or received services from the Texas Department of State Health Services (DSHS). Example: A pregnant woman applies for ...

Section 6000, Service Delivery Options
... because of the simplicity and convenience of receiving services. For example, under AO the individual is not ... needs change; serving as a resource if the individual has health or safety concerns, or worries about being taken ... and Supports. The STAR+PLUS program does not change Medicaid eligibility or services. It changes the way Medicaid ...

Section 3000, STAR+PLUS HCBS Program Eligibility and Services
... Revision 18-2; Effective September 3, 2018       3110 Medicaid, Medicare and Dual-Eligibles Revision 18-2; ... in the MCO's network. These members receive all covered services, both acute care and long-term services and supports ... Assistance – Your Texas Benefits, on file with the Texas Health and Human Services Commission (HHSC) may not need to ...

Section 3000, STAR+PLUS HCBS Program Eligibility and Services
... Revision 18-0; Effective September 4, 2018     3110 Medicaid, Medicare and Dual-Eligible Members Revision 18-0; ... STAR+PLUS does not impact Medicare eligibility or services. The STAR+PLUS MCO only provides Medicaid long-term ... Assistance – Your Texas Benefits, on file with the Texas Health and Human Services Commission (HHSC) may not need to ...

Waiver Renewal
... information about HHS' renewal of the CMS 1115 waivers Medicaid 1115 Waiver DY6-16 On Jan. 15, 2021, HHSC received ... individuals may contact Amanda Sablan by U.S. mail Texas Health and Human Services Commission Attention: Amanda Sablan, Waiver ...

Section 1000, Overview and Eligibility
... 83rd Legislature, Regular Session, 2013 required the Texas Health and Human Services Commission (HHSC) to create the State of Texas Access Reform (STAR) Kids program. STAR Kids is a Medicaid managed care program for children with disabilities ...

Section 1000, State of Texas Access Reform Plus (STAR+PLUS) Managed Care
... managed care system to combine acute care with long term services and supports (LTSS). The STAR+PLUS program does not change Medicaid eligibility or services. It does change the way ... (SPOPH) includes operational procedures for the Texas Health and Human Services Commission (HHSC) Program Support ...

Glossary
... as: the denial or limited authorization of a requested Medicaid service, including the type or level of service; the ... of a previously authorized service; the failure to provide services in a timely manner; the denial in whole or in part ... (MCO) to act within the time frames set forth by the Texas Health and Human Services Commission (HHSC) and state and ...