Revisions
24-4, Miscellaneous Changes
Revision Notice 24-4; Effective Dec. 1, 2024
The following sections were revised in the STAR Kids Program Support Unit Operational Procedures Handbook:
Section No. | Title | Change |
---|---|---|
1000 | STAR Kids Overview and Eligibility | Adds clarifying language about MCO requirements for amended ISPs. |
1270 | Financial Eligibility | Adds clarifying language on individuals with an active TOA in TIERS and those who require Form 2606, Managed Care Enrollment Processing Delay. |
1330 | Service Delivery Options for Certain Long-Term Services and Supports | Updates link to MDCP service delivery options. |
1631 | Program Support Unit Communications with Managed Care Organizations | Changes TxMedCentral to the MCOHub. |
1820 | Managed Care Organization Notification Requirements for PSU Staff | Changes TxMedCentral to the MCOHub. |
2310 | Contacting the Interest List Management Unit to Reopen a Closed Interest List Release | Removes ILM email address and adds clarifying language. |
2410 | Traditional Money Follows the Person | Adds clarifying language and reference to Section 1200, Medically Dependent Children Program Eligibility. |
2411 | Medically Dependent Children Program Eligibility | Deletes duplicate section. Information found in Section 1200, Medically Dependent Children Program Eligibility. Updated title to Reserve for Future Use. |
2411.1 | Texas Administrative Code Medically Dependent Children Program Eligibility Requirements | Deletes section. Information found in Section 1200.1, Texas Administrative Code Medically Dependent Children Program Eligibility Requirements. |
2411.2 | Texas Administrative Code Medical Necessity Determination Requirements | Deletes section. Information found in Section 1210.1 Texas Administrative Code Medical Necessity Determination Requirements. |
3210.2 | Reassessment of Medical Necessity Determination | Removes reference to Uniform Managed Care Manual (UMCM). Updates sections for Denials and Terminations and Reassessment activities. |
3300 | Member Service Planning and Authorization | Adds clarifying language about MCO requirements for significant change ISPs. |
3320 | Service Planning for Medically Dependent Children Program Services | Adds clarifying language on reporting delinquent reassessments. |
3321 | Medically Dependent Children Program Individual Service Plan Revision | Changes TxMedCentral to the MCOHub. |
3327 | Reassessment Individual Service Plan Procedures | Updates section title to Individual Service Plan Expiring Report. Adds clarifying language. |
3327.1 | Process for Reviewing the Individual Service Plan Expiring Report | Updates section title to Reassessment Procedures. Adds clarifying language. |
3328 | Reassessment Notification Requirements | Deletes section. |
3440 | Transfer from Community Care for Aged and Disabled Services to STAR Kids | Updates section title to Transfer from Community Care Services Eligibility to STAR Kids. Adds clarifying language on coordination with CCSE staff. |
3500 | Transition from Medically Dependent Children Program to Adult Programs | Removes language for clarification. |
3510 | Twelve Months Before the Member's 21st Birthday | Adds clarifying language. |
3520 | Transition Policy for Non-Waiver Individuals and Applicants Receiving PCS or CFC Only | Adds clarifying language. |
7210 | Entering a State Fair Hearing In TIERS | Adds clarifying language. |
7221.2 | Financial Denial by Medicaid for the Elderly and People with Disabilities or Texas Works | Updates language for clarification. |
7222.1 | Continuation of Medically Dependent Children Program Services During a State Fair Hearing | Changes time to extend a SK-ISP for continued benefits. Updates activities to complete to ensure continued benefits. |
7222.2 | Discontinuation of Medically Dependent Children Program Services During a State Fair Hearing | Adds clarifying language. |
Appendix II | Form H2065-D MDCP Reason for Denial and Comments Language | Updates Room and Board and Copayment comments language. Adds use of prorate language. |
Appendix IX | STAR Kids TxMedCentral Naming Conventions | Updates title to Appendix IX, STAR Kids MCOHub Naming Conventions. Adds clarifying language. |
Appendix XVIII | STAR Kids HEART Naming Conventions | Removes language for clarification and changes TxMedCentral to the MCOHub. |