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Texas Health and Human Services Home Texas Health and Human Services
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Breadcrumb

  1. Home
  2. Search Services
  3. Health
  4. Medicaid & CHIP
  5. Managed Care Contract Management

Services

  • Financial Statistical Reports
    • Archive: Medicaid and CHIP Financial Statistical Reports FY 2020
    • Archive: Medicaid and CHIP Financial Statistical Reports FY 2021
  • Managed Care Incentives & Disincentives
  • Managed Care Organization Sanctions
  • Texas Medicaid & CHIP - Uniform Managed Care Manual
  • Medicaid and CHIP Financial Statistical Report Agreed Upon Procedures Results

Managed Care Contract Management

Contracts

  • STAR+PLUS Medicaid Rural Service Area (MRSA) Contract (PDF)
  • STAR Health Managed Care Contract (PDF)
  • STAR Kids Managed Care Contract (PDF)
  • CHIP Rural Service Area Contract (PDF)
  • Medicare-Medicaid Dual Demonstration (MMDD) Contract (PDF)
  • STAR+PLUS Expansion Contract (PDF)
  • Uniform Managed Care Contract (PDF)

STAR Health

  • Full STAR Health Contract Operational 09/01/2023 (PDF)
  • [Amended STAR Health 1 (PDF)]

Dental Service

  • Full Dental Services Contract Operational 09/01/2020 (PDF)
  • [Amended Dental Service 1 (PDF)]
  • [Amended Dental Service 2 (PDF)]
  • [Amended Dental Service 3 (PDF)]
  • [Amended Dental Service 4 (PDF)]
  • [Amended Dental Service 5 (PDF)]
  • [Amended Dental Service 6 (PDF)]
  • [Amended Dental Service 7 (PDF)]
  • [Amended Dental Service 8 (PDF)]
  • [Amended Dental Service 9 (PDF)]

Manuals and Handbooks

  • STAR+PLUS Handbook
  • STAR Kids Handbook
  • Uniform Managed Care Manual

Reporting

  • Financial Statistical Reports
  • Managed Care Incentives and Disincentives
  • Managed Care Organization Sanctions
  • Medicaid and Chip Financial Statistical Report Agreed Upon Procedures Result
  • Exclusionary Screening Disclosures (Excel)

Resources

  • Electronic Code of Federal Regulations - Managed Care Section
  • Texas Administrative Code
  • Approved Medicare Advantage and Dual Eligible Health Plans (Excel)

Persons with disabilities that require an accessible version of any document should email Patricia Hastings.

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