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7.2.3 Client Enrollment
A STAR Program client may choose a STAR health plan and primary care provider. To maximize enrollment, the STAR Program offers four alternative ways that clients can enroll:
• Telephone Enrollment. A client can enroll in the STAR Program by calling 1-800-964-2777. A customer care representative will provide essential education about the program and details needed for enrollment.
•Mail-in Enrollment. If calling is not convenient, a client may enroll by completing the STAR Program enrollment form and dropping it in the mail using the postage-paid, self-addressed envelope. Enrollment forms are mailed to all eligible mandatory clients along with a brochure explaining the program and provider directories for each plan.
•Onsite Enrollment. In addition to telephone and mail-in enrollment, clients can enroll by talking with a STAR Program customer care representative at a local HHSC office, at Women, Infants, and Children (WIC) classes, community facilities, or during enrollment events.
•Default Enrollment. The final method of enrollment is through an assignment process. If a client does not exercise the right to choose a STAR health plan and primary care provider, the client will be assigned to a plan and/or primary care provider. The following factors are considered when processing a default enrollment:
•Client's past claims history, taking into account an established relationship with a STAR participating primary care provider.
•Client's age.
•Client's sex.
•Client's geographic proximity to the primary care provider.
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