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Heading: Providers Texas Medicaid 
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 Medicaid Managed Care

On March 1, 2012, the Texas Health and Human Services Commission (HHSC) implemented changes to the delivery of Medicaid and the Children’s Health Insurance Program (CHIP) services.

Effective March 1, 2012, the following changes were implemented:

  • The STAR+PLUS program expanded into the El Paso and Lubbock service areas.
  • The STAR and STAR+PLUS programs expanded into the Hidalgo service area.
  • Children’s Medicaid dental services expanded statewide through managed care.
  • Reprocured STAR, STAR+PLUS, and CHIP Managed Care Organizations (MCOs) began services.
  • Primary Care Case Management (PCCM) was replaced by the STAR program in the Medicaid Rural Service Area (RSA).
  • Pharmacy benefits administration moved to managed care organizations (MCOs) from Vendor Drug Program.

Provider transition training for STAR, STAR+PLUS, pharmacy, and children's dental services. Click here for recordings of webinars and training sessions.

Contact information

Service area maps and county lists

Details are available in this article, which was extracted from the January/February 2012 Texas Medicaid Bulletin.

Helpful Links

Automatic Medicaid Managed Care Enrollment for Some Individuals - Additional information for providers who received the Information Letter No. 14-23 regarding the September 1, 2014 expansion of the STAR+PLUS Medicaid Managed Care Program to the Medicaid Rural Service Areas (MRSAs). 

 Related News Items

Topics: Information of interest to providers, including NDC and Alberto N. and past initiatives such as PACT transition and hurricanesFlash file
The Affordable Care Act is coming. Click here for more information on the Affordable Care Act and how it affects you.Texas Women's Health Program: Click here for information

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