STAR Kids 101: Learn the Basics

What is STAR Kids?

STAR Kids will be the first Medicaid managed care program in Texas specifically serving youth and children who get disability-related Medicaid. Texas Children’s Health Plan STAR Kids program will provide services, including  long term support services (LTSS), for members ages 20 or younger who either receive Supplemental Security Income (SSI) Medicaid or are enrolled in the Medically Dependent Children Program (MDCP).  Children and youth who receive services through other 1915(c) waiver programs will also receive their basic health services (acute care) through the STAR Kids program. Most of these children currently receive services through traditional Medicaid and will be transitioning to this managed care program.

Major conditions of this population include:

• Behavioral health disorders
• Blind
• Cardiovascular disorders
• Congenital anomalies (e.g., Down Syndrome, Spina Bifida)
• Disabled
• Injuries (e.g., traumatic brain injuries, limb amputations)
• Neuromuscular disorders (e.g., Cerebral Palsy)
• Technology Dependent

The Benefits of STAR Kids

TCHP STAR Kids will be tailored to the needs of youth and children with disabilities.

The program will provide benefits such as prescription drugs, hospital care, primary and specialty care, preventive care, personal care services, private duty nursing, and durable medical equipment and supplies. Children and youth who get additional services through MDCP will receive additional long-term services and supports through STAR Kids.

Through TCHP STAR Kids, families will also receive coordination of care, which will help identify needs and connect members to services and qualified providers. Each member will have their service needs assessed, which will form the basis of that member’s individual service plan. Providers will be able to work with the care coordinators to ensure patients’ have access to the care and equipment they need. In addition, care access will be enhanced through promotion of health homes and support from experts in caring for medically complex children.  Coordination will reduce unnecessary health care utilization and increase the ability of members with disabilities to remain in their communities.

The STAR Kids program emphasizes improving key transitions for children with disabilities. Whether transitioning from the hospital to home, or into adult care, members and providers will be equipped with support through care coordination by the health plan. Texas Children’s Health Plan looks forward to partnering with our existing provider network, as well as some new partners to achieve better care for the most vulnerable children in our community.