Friday, August 30, 2024

Information For Medicaid Members and Providers: Upcoming Changes to STAR+PLUS

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Information For Medicaid Members and Providers: Upcoming Changes to STAR+PLUS

Effective September 1, HHSC is transitioning contracts for the STAR+PLUS program. This document provides STAR+PLUS members and providers with resources for assistance with go-live concerns.

 

I am a…

I need help with…

How to get help

Member

Learning general information about the transition

See the HHSC STAR+PLUS webpage

Member

A complaint about my MCO

Contact your MCO plan first.

If the issue isn't resolved, contact the HHSC Ombudsman

Member

STAR/CHIP, STAR Health, STAR Kids, MMP, or CHIP

Please see the HHSC Medicaid and CHIP webpage

Member

Understanding how my coverage may be impacted by the transition

Please see the Continuity of Care webpage

Provider

Contracting with an MCO

To contract with an MCO, please see the MCO provider contacts list.

 

If you have already connected with an MCO and have a complaint, reach out to the Health Plan Management Complaints inbox.

Provider

Understanding how the transition pay impact my billing

Please reach out to the MCO you have contracted with to understand their billing processes

Provider

Understanding how to help my clients through the transition

Please see the HHSC STAR+PLUS webpage for transition resources

 

For any STAR+PLUS transition related issues, please contact the STAR+PLUS Go Live inbox.

 


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