6000, Denials and Disenrollment

Revision 20-3; Effective December 1, 2020

6050 Description

Revision 20-3; Effective December 1, 2020

Sections 6100 and 6200 provide information pertaining to denial of Medically Dependent Children Program (MDCP) services for active members, along with adequate notice of a member's rights and opportunities to due process.

Section 6300 provides information on member or managed care organization (MCO) requested disenrollment from the STAR Kids Program. 

1 Texas Administrative Code §353.1203, which is cited on Form H2065-D, Notification of Managed Care Program Services, is the basis for all STAR Kids case actions.