What is the STAR+PLUS Program?
STAR+PLUS is a Medicaid Managed Care program of the Texas Health and Human Services Commission (HHSC) for adults who are not receiving Medicare. The term “Managed Care” means the State of Texas hires managed care organizations (MCOs) to manage your health care and the STAR+PLUS plan is one option available for eligible Texans with Medicaid.
Who is eligible for the STAR+PLUS?
- Individuals who do NOT have Medicare coverage AND
- Individuals with Intellectual or Developmental Disabilities (IDD), who receive services in an intermediate care facility,
- Individuals with an Intellectual Disability or Related Conditions (ICD-IID).
- Or Individuals with one or more of the following IDD Waivers:
- Community Living Assistance and Support Service (CLASS)
- Deaf Blind and Multiple Disabilities (DBMD)
- Home and Community-based Services (HCS)
- Texas Home Living (TxHml)
Children and young adults under the age of 21 are voluntary and can choose to enroll in STAR+PLUS or remain in traditional Medicaid. Long-term services and supports (LTSS) will continue to be provided through DADS.
What does the STAR+PLUS plan offer?
- Basic medical coverage and care services to help you with everyday life:
- Doctor visits or other healthcare specialists such as a neurologist or cardiologist
- Medical equipment and supplies
- Promotes independent living
Star-Plus Insurance MCO (Managed Care Organization)