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Medicaid & CHIP Directed Payment Programs
Directed Payment Programs are designed to help Medicaid managed care programs achieve delivery system and ... payment program for hospitals providing healthcare services to adults and children enrolled in STAR and ... include children's hospitals, rural hospitals, mental health hospitals, state-owned hospitals, and urban hospitals. ...

Managed Care Oversight Improvement Initiatives
... opportunities for strengthening oversight of the Texas Medicaid program. HHSC has multiple initiatives in progress ... data to identify risks and ultimately improve quality of services. Completed milestones: Documented the member managed ... a project to develop a cost-effectiveness methodology for health teleservices. Upcoming milestones: Work with MCOs and ...

Section 1000, State of Texas Access Reform Plus (STAR+PLUS) Managed Care
... managed care system to combine acute care with long term services and supports (LTSS). The STAR+PLUS program does not change Medicaid eligibility or services. It does change the way ... (SPOPH) includes operational procedures for the Texas Health and Human Services Commission (HHSC) Program Support ...

A-800, Medicaid Eligibility
... October 1, 2016   Medical Programs Applicants may receive Medicaid during the three-month period before the month they ... through the Texas Department of Family and Protective Services (DFPS). DFPS works with the Interstate Compact on ... or received services from the Texas Department of State Health Services (DSHS). Example: A pregnant woman applies for ...

Section 1000, Program Authorization and Services
... Revision 19-0; Effective July 1, 2019   The Texas Health and Human Services Commission (HHSC) Family Planning Program (FPP) ... and improve the health status of low-income women and men. Medicaid Title XIX of the Social Security Act was created by ...

Section 1000, Program Authorization and Services
... manual is a guide for contractors who deliver women’s health and family planning services in Texas through the Healthy Texas Women (HTW) ... to the Texas Women’s Health Program and the former Medicaid Women’s Health Program, and is therefore subject ...

Section 6000, Service Delivery Options
... because of the simplicity and convenience of receiving services. For example, under AO the individual is not ... needs change; serving as a resource if the individual has health or safety concerns, or worries about being taken ... and Supports. The STAR+PLUS program does not change Medicaid eligibility or services. It changes the way Medicaid ...

Waiver Renewal
... information about HHS' renewal of the CMS 1115 waivers Medicaid 1115 Transformation Waiver On Jan. 15, 2021, HHSC ... to and approved by the Centers for Medicare and Medicaid Services on January 15, 2021, subject to any pending waiver ... by U.S. mail, telephone, fax, or email at: U.S. Mail Texas Health and Human Services Commission Attention: Basundhara ...

Section 3000, STAR+PLUS HCBS Program Eligibility and Services
... Revision 18-2; Effective September 3, 2018       3110 Medicaid, Medicare and Dual-Eligibles Revision 18-2; ... in the MCO's network. These members receive all covered services, both acute care and long-term services and supports ... Assistance – Your Texas Benefits, on file with the Texas Health and Human Services Commission (HHSC) may not need to ...

Section 3000, Eligibility, Client Services, Community Activities and Clinical
... 3000 provides policy requirements for eligibility, client services, community activities and clinical guidelines.   ... 18); Resides in Texas; Does not currently receive full Medicaid benefits, Children’s Health Insurance Program (CHIP), or Medicare Part A or B; Is ...