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Update: Transition to Managed Care

 

Information graphic with an orange box and a white arrow on top that has blue dots and the dates showing when Medicaid benefits will change in 2014 to 2021. The blue dot with the date November 1, 2016 is outlined with a black arrow.
The information below includes the dates and details of future changes to Medicaid in Texas.

If they haven’t yet, many Texans with disabilities will transition from traditional Medicaid to managed care and how they receive their health care could change. People with intellectual and developmental disabilities (I/DD) over 21-years-old already began to receive acute care (medical) services through the STAR+PLUS managed care program on September 1, 2014.

The information below includes the dates and details of future changes that could affect people with disabilities in Texas, including children and young adults. (Note: some dates have changed recently due to HB 3523, 84th Texas Legislature, 2015).

  • UPDATE: November 1, 2016 (previous date was September 1, 2016) — Children and young adults, up to 21 years, receiving Social Security Income and children and young adults participating in waivers [Medically Dependent Children Program (MDCP), Youth Empowerment Services (YES), Home and Community-based Services (HCS), Community Living Assistance and Support Services (CLASS) and Deaf Blind Multiple Disability (DBMD)] are expected to begin to receive their medical benefits from the STAR KIDS managed care program.
    • Children and young adults, up to 21 years, using the Medically Dependent Children Program (MDCP) will also begin to receive long term services and supports from STAR KIDS.
    • Children and young adults, up to 21 years, using IDD waivers (HCS, CLASS, DBMD) may continue to receive long term services and supports from their waiver, but their medical benefits are expected to be provided by STAR KIDS.

  • UPDATE: September 1, 2018 (previous date was September 1, 2017) — Parts of the Texas Home Living (TxHmL) waiver are expected to become entitlement services in the STAR+PLUS program. Persons with IDD with incomes up to 100% of SSI are expected to have access to some long term services and supports without a wait. The full list of services included as entitlements are currently unknown.

  • UPDATE: September 1, 2021 (previous date was September 1, 2020) — Parts of the HCS, CLASS and DBMD waiver programs are expected to roll into the STAR+PLUS managed care program.

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