TMPPM 2008 > Provider Information > Managed Care > NorthSTAR Program

7.4.3.1 Client Eligibility

Most Medicaid clients residing in the Dallas SA must enroll in NorthSTAR. All STAR Program enrollees are subject to mandatory enrollment in NorthSTAR. Once enrolled in NorthSTAR, ValueOptions will coordinate enrollee behavioral health services.

Refer to: "Medicaid Identification Form H3087" for a sample of the Medicaid Identification Form (Form H3087).

Note: NorthSTAR Program enrollment information is not reflected on the Medicaid Identification Form (Form H3087), but enrollment can be confirmed by the BHO or the enrollment broker.

Medicaid clients residing in the Dallas SA that are not eligible to enroll in a NorthSTAR BHO are:

•Medicaid clients living in a nursing facility.

•Medicaid clients living in an ICF-MR.

•Medicaid clients living in state hospitals' Institutions for Mental Disease Over Age 65 Program.

•Children who are in the custody of the Department of Family and Protective Services (DFPS) (in foster care).

•Certain Medicaid clients that are ineligible for NorthSTAR such as type program 55.

Refer to: "Client Enrollment" for further information on STAR Program eligible client program types and for further information on STAR Program eligibility effective dates.