An official State of Texas website.
Revision 24-4; Effective Dec. 1, 2024
The MCOHub is a secure Internet bulletin board that the Texas Health and Human Commission (HHSC) Program Support Unit (PSU) staff and the managed care organization (MCO) use to share information securely. The MCOHub uses specific naming conventions only for the documents listed below. PSU staff and the MCO must follow these naming conventions any time either the MCO or PSU staff uploads one of the following documents to the MCOHub.
PSU staff and the MCO:
- Are only required to upload the English versions of forms to the MCOHub.
- Are not required to upload the Spanish versions of forms to the MCOHub.
Form H3676, Managed Care Pre-Enrollment Assessment Authorization (PDF)
Interest List Release and Age-Outs
PSU staff and the MCO must upload Form H3676 to the SPW folder but must not upload this form to any other folder. An M or S is added to the sequence number to show if the MCO or PSU staff uploads the form to the MCOHub. An M indicates the MCO. An S indicates PSU staff.
PSU staff must enter two commas after the last letter of the individual or applicant’s last name if the last name contains two letters. For example: AB,,. PSU staff must enter one comma after the last letter of the individual or applicant’s last name if the last name contains three letters. For example: ABC,.
| Two-Digit Plan Identification (ID) | Form No. | Member ID, Medicaid No. or Social Security No. (SSN) | First Four Letters of Member's Last Name | Section No. | Sequence No. of Form Examples |
|---|---|---|---|---|---|
| # # | 3676 | 123456789 | ABCD | A or B | 1S, 2S, 3S or 1M, 2M, 3M |
Examples:
- The naming convention for this form must be ##_3676_123456789_ABCD_A_1S when PSU staff initially completes and uploads Section A.
- The naming convention for this form must be ##_3676_123456789_ABCD_A_2S if PSU staff completes and uploads Section A of this form a second time.
- The naming convention for this form must be ##_3676_123456789_ABCD_B_1M when the MCO initially completes and uploads Section B as a response to Section A.
- The naming convention for this form must be ##_3676_123456789_ABCD_B_2M if the MCO completes and uploads Section B of this form a second time.
Money Follows the Person (MFP)
PSU staff must use a separate naming convention to address the use of Form H3676 for non-STAR+PLUS nursing facility (NF) residents who request to transition to the community under the STAR+PLUS Home and Community Based Services (HCBS) program. These individuals are considered expedited cases for application to the STAR+PLUS HCBS program. The acronym for Money Follows the Person is MFP and is added to the section number in the naming convention to achieve rapid identification.
An M or S is added to the sequence number to show if the MCO or PSU staff uploads the form to the MCOHub. An M indicates the MCO. An S indicates PSU staff.
PSU staff must enter two commas after the last letter of the individual or applicant’s last name if the last name contains two letters. For example: AB,,. PSU staff must enter one comma after the last letter of the individual or applicant’s last name if the last name contains three letters. For example: ABC,.
| Two-Digit Plan ID | Form # | Member ID or SSN | Member Last Name (first four letters) | Section Number | Sequence Number of Form |
|---|---|---|---|---|---|
| # # | 3676 | 123456789 | ABCD | MFP | 1S, 2S, 3S or 1M, 2M, 3M |
Examples:
- The naming convention for this form must be ##_3676_123456789_ABCD_MFP_1S if PSU staff initially completes and uploads this form.
- The naming convention for this form must be ##_3676_123456789_ABCD_MFP_2S if PSU staff completes and uploads this form a second time.
- The naming convention for this form must be ##_3676_123456789_ABCD_MFP_1M if the MCO initially completes and uploads this form.
- The naming convention for this form must be ##_3676_123456789_ABCD_MFP_2M if the MCO completes and uploads this form a second time.
Form H1700-1, STAR+PLUS HCBS Program Individual Service Plan (PDF)
The MCO must:
- Complete and upload Form H1700-1 to the individual service plan (ISP) folder in the MCOHub for non-members, age-outs, and nursing facility (NF) residents transitioning to the STAR+PLUS Home and Community Based Services (HCBS) program.
- Complete and submit Form H1700-1 to the Texas Medicaid & Healthcare Partnership (TMHP) Long Term Care Online Portal (LTCOP) for members in the community.
The MCO must not upload Form H1700-1 to any other folder in the MCOHub. The MCO is not required to upload Form H1700-1 to the MCOHub if submitted through the TMHP LTCOP.
| Two-Digit Plan ID | Form No. | Member ID, Medicaid No. or SSN | First Four Letters of Member's Last Name | Page No. of Form H1700-1 | Sequence No. of Form Examples |
|---|---|---|---|---|---|
| # # | 1700 | 123456789 | ABCD | 1 | 1, 2, 3 |
Examples:
- The naming convention for this form must be ##_1700_123456789_ABCD_1_1 when the MCO initially completes and uploads this form.
- The naming convention for this form must be ##_1700_123456789_ABCD_1_2 if the MCO completes and uploads this form a second time.
Form H2067-MC, Managed Care Programs Communication (PDF)
PSU staff and the MCO must complete and upload Form H2067-MC to the SPW folder in the MCOHub. PSU staff and the MCO must not upload this form to any other folder. An M or S is added to the sequence number to indicate if the MCO or PSU staff uploads the form to the MCOHub. An M indicates the MCO. An S indicates PSU staff.
PSU staff must enter two commas after the last letter of the individual or applicant’s last name if the last name contains two letter, for example: AB,,. PSU staff must enter one comma after the last letter of the individual or applicant’s last name if the last name contains three letters, such as, ABC,.
| Two-Digit Plan ID | Form No. | Member ID, Medicaid No. or SSN | First Four Letters of Member's Last Name | Section No. | Sequence No. of Form Examples |
|---|---|---|---|---|---|
| # # | 2067 | 123456789 | ABCD | 1S, 2S, 3S or 1M, 2M, 3M |
PSU staff must add a C to the end of naming convention if this form is being upload to the MCOHub as notification of a cost-of-living adjustment (COLA).
Examples:
- The naming convention for this form must be ##_2067_123456789_ABCD_1S if PSU staff initially completes and uploads this form.
- The naming convention for this form must be ##_2067_123456789_ABCD_1S_C if PSU staff initially completes and uploads this form and it is related to a COLA.
- The naming convention for this form must be ##_2067_123456789_ABCD_2S if PSU staff completes and uploads this form a second time.
- The naming convention for this form must be ##_2067_123456789_ABCD_1M if the MCO initially completes and uploads this form.
- The naming convention for this form must be ##_2067_123456789_ABCD_2M if the MCO completes and uploads this form a second time.
Money Follows the Person (MFP)
PSU staff must use a separate naming convention to address the use of Form H2067-MC (PDF) for NF residents who request transition to the community under the STAR+PLUS HCBS program. These individuals and applicants are considered expedited cases for application to the STAR+PLUS HCBS program. The acronym for Money Follows the Person is MFP and is added to the section number in the naming convention to achieve rapid identification.
An M or S is added to the sequence number to indicate if the MCO or PSU staff uploads the form to the MCOHub. An M indicates the MCO. An S indicates PSU staff.
PSU staff must enter two commas after the last letter of the individual or applicant’s last name if the last name contains two letter, such as, AB,,. PSU staff must enter one comma after the last letter of the individual or applicant’s last name if the last name contains three letters, such as ABC,.
| Two-Digit Plan ID | Form No. | Member ID, Medicaid No. or SSN | First Four Letters of Member's Last Name | Section No. | Sequence No. of Form Examples |
|---|---|---|---|---|---|
| # # | 2067 | 123456789 | ABCD | MFP | 1S, 2S, 3S or 1M, 2M, 3M |
Examples:
- The naming convention for this form must be ##_2067_123456789_ABCD_MFP_1S if PSU staff initially completes and uploads this form.
- The naming convention for this form must be ##_2067_123456789_ABCD_MFP_2S if PSU staff completes and uploads this form a second time.
- The naming convention for this form must be ##_2067_123456789_ABCD_MFP_1M if the MCO initially completes and uploads this form.
- The naming convention for this form must be ##_2067_123456789_ABCD_MFP_2M if the MCO completes and uploads this form a second time.
Form H2065-D, Notification of Managed Care Program Services (PDF)
PSU staff must complete and upload Form H2065-D to the SPW folder in the MCOHub if the form is generated manually. PSU staff must not upload this form to any other folder. An A is used for a Form H2065-D approval, and a D is added to the sequence number to show if the form is denying STAR+PLUS HCBS program eligibility.
PSU staff must generate Form H2065-D electronically in the TMHP LTCOP if applicable. PSU staff and the MCO must access Form H2065-D in the Letters tab of the TMHP LTCOP if the MCO submitted the applicant or member’s ISP through the TMHP LTCOP. PSU staff is only required to upload Form H2065-D to the MCOHub for Form H2065-Ds generated manually.
PSU staff must enter two commas after the last letter of the applicant or member’s last name if the last name contains two letters, such as, AB,,. PSU staff must enter one comma after the last letter of the applicant or member’s last name if the last name contains three letters, such as, ABC,.
| Two-Digit Plan ID | Form No. | Member ID, Medicaid No. or SSN | First Four Letters of Member's Last Name | Section No. | Sequence No. of Form Examples |
|---|---|---|---|---|---|
| # # | 2065 | 123456789 | ABCD | D | 1D, 2D, 3D or 1A, 2A, 3A |
Examples:
- The naming convention for this form must be ##_2065_123456789_ABCD_D_1D if PSU staff deny an applicant or member eligibility for the STAR+PLUS HCBS program.
- The naming convention for this form must be ##_2065_123456789_ABCD_D_1A if PSU staff approve an applicant or member eligibility for the STAR+PLUS HCBS program.
- The naming convention for this form must be ##_2065_123456789_ABCD_D_2D if PSU staff deny an applicant or member eligibility for the STAR+PLUS HCBS program and complete and upload this file a second time.
- The naming convention for this form must be ##_2065_123456789_ABCD_D_2A if PSU staff approve an applicant or member eligibility for the STAR PLUS HCBS program and complete and upload this file a second time.
MCOHub Folders
The STAR+PLUS MCOs use the following folders for all STAR+PLUS HCBS program related uploads. Each MCO has two folders with three-letter identifiers:
- ISP — Individual Service Plan, which contains Form H1700-1; and
- SPW — STAR+PLUS HCBS program, which contains forms:
- H2065-D;
- H3676; and
- H2067-MC.
| Primary Folder: MCO Identifiers | Secondary Folder: MCOHub Folders by Plan |
|---|---|
| AMG — Wellpoint | AMGISP and AMGSPW |
| UHC — United Healthcare Community Plan | UHCISP and UHCSPW |
| MOL — Molina | MOLISP and MOLSPW |
| SUP — Superior | SUPISP and SUPSPW |
| CFHP – Community First Health Plans | CFHPISP and CFHPSPW |
| CHC – Community Health Choice | CHCISP and CHCSPW |
| EPH – El Paso Health | EPHISP and EPHSPW |