Texas

STAR+PLUS is a manged LTSS and acute healthcare program that has operated in Texas since 1998.  Originally run as a 1915(b)/(c) Waiver program, STAR+PLUS became part of the state's 1115 Waiver, known as the Texas Healthcare Transformation and Quality Improvement Program, in 2012.  The program expanded its scope to become statewide in 2014.  Enrollment is mandatory for adults and voluntary for children in select Medicaid eligibility categories.  Texas also launched a duals demonstration program in 2015 in six counties, allowing adult STAR-PLUS members who are also eligible for Medicare to receive integrated, managed Medicare and Medicaid services.

 

 

STAR+PLUS contract with managed care organizations:

 

Duals demonstration three-way contract:

 

Supplemental quality reporting requirements:

 

1115 Waiver extension application:

 

1115 Waiver approval and special terms & conditions:

 

Duals demonstration memorandum of understanding with CMS:

 

Duals demonstration proposal to CMS:

 

Texas Managed Care Quality Improvement Strategy:

 

STAR+PLUS capitation rate information