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2012 Texas Medicaid Provider Procedures Manual

Medicaid Managed Care Handbook : 4. STAR+PLUS Program : 4.1 STAR+PLUS Program Clients

4.1 STAR+PLUS Program Clients
HHSC has targeted these client groups within the Texas Medicaid population for STAR+PLUS Program enrollment:
Clients in program type 14 who are not determined eligible for the 1915(c) STAR+PLUS Waiver (SPW) will be excluded from participation in STAR+PLUS.
Clients who are denied SSI coverage and who receive widow/widower Social Security benefits
Clients who are eligible for Medicaid under the SSI Program and who reside in a STAR+PLUS service area can enroll in STAR+PLUS. Enrollment in STAR+PLUS is mandatory for clients who are 21 years of age and older and voluntary for clients who are 20 years of age and younger.
SSI clients who meet the following conditions are required to select a PCP from the MCO provider directory:
SSI clients who are also covered by Medicare (i.e., dual-eligible clients) must select a STAR+PLUS MCO to receive Medicaid community based long term care services.

Texas Medicaid & Healthcare Partnership
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