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2012 Texas Medicaid Provider Procedures Manual

Medicaid Managed Care Handbook : 3. STAR Program : 3.2 STAR Client Enrollment

3.2 STAR Client Enrollment
Eligible clients in a STAR service area choose an MCO and a PCP. To maximize enrollment, clients may enroll any of the following ways:
Clients may complete the STAR Program enrollment form and send the form to the address on the postage-paid, self-addressed envelope provided with the form.
Enrollment forms are mailed to all eligible mandatory clients along with a brochure explaining the program and provider listings for each health plan.
If a client does not exercise the right to choose an MCO and PCP, the client will be assigned to a health plan and PCP. The following factors are considered when processing a default enrollment:
STAR Example 1
Benefits under the STAR Program usually begin on the first day of the next month following the client's selection of a managed care plan and PCP. The following example shows the managed care enrollment date for a client who selects a health plan and PCP before the designated cutoff date (approximately the 15th of the month):
STAR Example 2
The following example shows the managed care enrollment date for a client who selects a health plan and PCP after the designated cutoff date (approximately the 15th of the month):

Texas Medicaid & Healthcare Partnership
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