STAR Kids is a Medicaid-managed care plan. This plan helps children and young adults who under the age of 21 with disabilities. Texas Children’s Health Plan offers STAR Kids in the Harris, Jefferson and Northeast Service Areas.
Benefits:
- Prescription drugs.
- Hospital care.
- Primary care.
- Specialty care.
- Preventive care.
- Personal care services.
- Private duty nursing.
- Durable medical equipment and supplies.
Long-Term Services and Supports
STAR Kids offers long-term services and supports if you need them. Long-term services and supports are things that can help in your home with daily activities. Also, we can help make changes to your home so you can safely move around.
- If you get services through a Department of Aging and Disability Services (DADS) intellectual and developmental disability (IDD) waiver, the Youth Empowerment Services (YES) waiver, or live in an Intermediate Care Facility (ICF-IID), you will get certain LTSS through your health plan, but you will continue to get your waiver or facility long-term services and supports through your waiver or facility, the way you do today.
- If you do not get services through a DADS IDD waiver, YES, or ICF-IID, you will get all your LTSS services through the STAR Kids health plan you pick.
- If you get services through the Medically Dependent Children Program (MDCP) waiver, you will get all your LTSS through the STAR Kids heath plan you pick.
STAR Kids Value Added Services
Caregiver Respite Care Services. Texas Children’s Health Plan proposes to offer eight hours of in-home respite services as an extension of their home and community-based services.
Sports Team Reimbursement. Texas Children’s Health Plan offers reimbursement to any sports programs available in the member’s area for 4 games per year for members ages 5 to 20.
Smoking Cessation Benefits. Texas Children’s Health Plan offers smoking cessation benefits as a value-added service for STAR Kids Members. Up to $50 above the basic benefit – for nicotine replacement products including over the counter and prescription items. Health coaching, education and referral to approved programs offered free of charge to tobacco dependent parents of all members that agree to coaching.
Parent Training. Texas Children’s Health Plan offers accredited parent training seminars on a variety of topics from which parents of STAR Kids Members may choose. Topics include caring for children with certain diagnoses, such as ADHD or Autism; navigating special education opportunities and services; and parent training on advocating for children with intellectual or developmental disabilities. Parents may attend any accredited seminar.
Post Hospitalization Follow-Up Visit Incentive. STAR Kids members may receive a gift card for completing a follow-up visit after being hospitalized within 7 to 14 days of discharge.
