STAR+PLUS Pilot Program (SP3)

The STAR+PLUS Pilot Program, also called SP3, is a new pilot program that will test a managed care delivery model for long-term services and supports for people with intellectual and developmental disabilities (IDD), traumatic brain injuries (TBI), acquired brain injuries (ABI) and similar functional needs.

SP3 will begin by Sept. 1, 2023, in one of the Texas managed care service areas (either Bexar, Medicaid Rural Service Area Northeast or Tarrant) and will operate for two years. The pilot will then be evaluated.

HHS will post announcements and updates about SP3, including the selected service area and health plans selected to deliver services, on this webpage.

SP3 Members

How will people join SP3?

SP3 services will be offered to people who meet all of the following requirements:

  • Live in the service area where SP3 will operate.
  • Are age 21 and older.
  • Are enrolled in STAR+PLUS.
  • Have IDD, TBI, ABI, or a similar functional need as someone with IDD, TBI or ABI.
  • Are not currently enrolled in an IDD 1915(c) waiver or community-based intermediate care facility.
  • Are not currently living in a nursing home.

What services will be available through SP3?

SP3 services include, but are not limited to:

  • Adaptive aids
  • Cognitive rehabilitation therapy
  • Dental services
  • Home-delivered meals
  • Individualized skills and socialization
  • Nursing
  • Personal assistance services/habilitation
  • Respite services
  • Employment assistance and supported employment
  • Physical, speech and occupational therapies
  • Transportation services

SP3 will also include new services — such as remote monitoring, housing supports, and enhanced behavioral health services — that are not currently available in other Medicaid waiver programs.

Additional Resources