Starting Sept. 1, 2017, women in the Medicaid for Breast and Cervical Cancer (MBCC) program will receive all their Medicaid services, including cancer treatment, through the STAR+PLUS health plan they pick.
After the transition, women who receive MBCC services will have the same Medicaid benefits they have today. In addition STAR+PLUS members receive:
- Unlimited prescriptions.
- A service coordinator to help them find the right providers for their needs.
- A primary care provider to make sure all of their needs are addressed.
- Value-added services which are extra services like respite, extra vision services, and health and wellness services.
Women who get MBCC services will have a nurse as their service coordinator. The service coordinator can help identify and address medical needs, help them and their families understand Medicaid benefits, ensure access to needed specialty services and help coordinate community supports including services that might be non-medical or not covered by Medicaid.
Beginning in June 2017, these women will get information in the mail about the upcoming change to managed care, including information about picking a health plan. They will have until August 14, 2016, to pick their health plan. To make sure materials are mailed to the right address, go to yourtexasbenefits.com or call 2-1-1 to confirm the address we have on file is correct.
If you have questions about MBCC services changing to managed care, email them to Managed_Care_Initatives@hhsc.state.tx.us. HHSC will host client and provider information session in January and February 2017.
View a video about Medicaid for Breast and Cervical Cancer.
STAR+PLUS is a Texas Medicaid managed care program for people who have disabilities, or who are 65 or older. People in STAR+PLUS get Medicaid health-care and long-term services and support through a medical plan that they choose. As of Sept. 1, 2017, most women in the MBCC program will get Medicaid services through STAR+PLUS.
Beginning in May 2017, women who receive MBCC services will get information from HHSC about the upcoming transition to managed care, including information about picking a health plan.
To ensure you receive enrollment materials in the mail, make sure we have the correct address on file. You can update your address by calling 211. People receiving SSI will need to update their address with the Social Security Administration at https://www.ssa.gov/.
- Mandatory enrollment letter (PDF)
- Voluntary enrollment letter (PDF)
- STAR+PLUS introductory letter (PDF)
Managed Care Organizations
The state is divided into 13 managed care service areas. Each service area has at least 2 health plans to pick from.
- Map of service areas for STAR, STAR Kids and STAR+PLUS (PDF). This map shows which health plans will offer services in each region of the state.
- Medicaid for Breast and Cervical Cancer Program Eligibility Criteria
- Medicaid for Breast and Cervical Cancer Program Client Information Session (PDF)
- Medicaid for Breast and Cervical Cancer Program Provider Information Session (PDF)
- Medicaid for Breast and Cervical Cancer Information Sessions Frequently Asked Questions (PDF)
HHSC would like input from people who get services, family members, advocates and Medicaid providers. Send questions and comments by email to firstname.lastname@example.org.