Medicaid Health Plans in Texas



AARP health insurance plans (PDF download)

Medicare replacement (PDF download)

medicare benefits (PDF download)

medicare coverage (PDF download)

medicare part d (PDF download)

medicare part b (PDF download)

Medicaid Health Plans in Texas

PDF download:

Texas Medicaid Managed Care and Children's Health Insurance

hhs.texas.gov

Texas Medicaid Managed Care and. Children's Health Insurance Program.
External Quality Review Organization. Summary of Activities and Trends in.
Healthcare Quality. Managed Care Organization Profiles. Contract Year 2016.
Measurement Period: 2011 through 2016. The Institute for Child Health Policy.
University of …

Medicaid Managed CareTexas Health and Human Services

hhs.texas.gov

HHSC transitioning nursing facility (NF) services for most clients 21yrs and older,
from traditional fee-for-service. (FFS) Medicaid to STAR+PLUS managed care. •
Effective March 1, 2015, statewide. • Directed by S.B. 7, 83rd Legislature, Regular
Session, 2013. • Intended to improve quality of care and health outcomes for.

Texas Medicaid Managed Care and – Texas Health and Human …

hhs.texas.gov

Texas Medicaid Managed Care and. Children's Health Insurance Program.
Summary of Activities and Trends in Health Care. Quality. Contract Year 2016.
Measurement Period: 2011 through 2016. The Institute for Child Health Policy.
University of Florida. The External Quality Review Organization for Texas
Medicaid and …

Texas Managed Care Service Areas – Texas Health and Human …

hhs.texas.gov

Managed Care Service Areas. TEXAS. Map Prepared by: Texas Health and
Human Services Commission. Center for Analytics and Decision Support. MRL.
September 27, 2017. STAR – A m e r i g r o u p , F i r s t … Dental (statewide) –
DentaQuest, MCNA. MSRA: Medicaid Rural Service Area. MMP: Medicare –
Medicaid Plan.

Medicaid for Breast and Cervical Cancer Program Client Information …

hhs.texas.gov

Cervical Cancer (MBCC) program get Medicaid services through Medicaid fee-
for-service. • Most MBCC clients will move to STAR+PLUS managed care Sept. …
STAR Health. • STAR+PLUS. • Texas Dual Eligible Integrated Care Project. •
Called the Dual Demonstration. • CHIP. • CHIP and Children's Medicaid Dental. 8
 …

State review of the accreditation status of MCOs – Texas Health and …

hhs.texas.gov

accreditation status of all MCOs and DMOs providing services in Texas as of July
1, 2017. MCO. Accrediting. Entity*. Expiration. Date. Accreditation. Program.
Accreditation. Level. Aetna Better Health. Plan. NCQA. 8/30/2018. Medicaid HMO
. Provisional. Amerigroup Texas. NCQA. 8/22/2019. Medicaid HMO.
Commendable.

Overview of the STAR+PLUS Program in TexasTexas Health and …

hhs.texas.gov

STAR+PLUS. • Medicaid program designed to integrate the delivery of acute care
and long-term services and supports (LTSS) through a managed care system. •
For people age 65 and older or who have a disability. • About 412,000 members
currently served. • Each member is enrolled in a managed care organization.

state of texas medicaid managed care star+plus … – Rate Analysis

rad.hhs.texas.gov

Sep 14, 2017 There are a total of five health plans serving the various SDAs throughout the
state. Effective September 1, 2017, members in the. HHSC Medicaid for Breast
and Cervical Cancer (MBCCP) program will begin getting their. Medicaid
services through managed care and will be a separate risk group in the …

Medicaid for Breast and Cervical Cancer Program Provider …

hhs.texas.gov

Sep 1, 2017 The 83rd Texas Legislature directed HHSC to move remaining Medicaid fee-for-
service clients to. Medicaid managed care. • Currently, women in the Medicaid
Breast and. Cervical Cancer program get Medicaid services through Medicaid
fee-for-service. • Most MBCC clients will move to STAR+PLUS.

Ombudsman Managed Care brochure – Texas Health and Human …

hhs.texas.gov

Recieve health care services for your family. • Solve problems. • Answer
questions. • Know your rights. • Understand your Medicaid coverage. • Find your
way through the managed care system. • Advocate for yourself. 17D0316. “I
couldn't get my medication. The o ce helped me that same day and then checked
back to see.

Hurricane Harvey Frequently Asked Questions – Texas Health and …

hhs.texas.gov

Nov 28, 2017 Medicaid and Children's Health Insurance. Program (CHIP) Frequently Asked
Questions. On Aug. 25, Hurricane Harvey hit the Texas coast and caused
significant damage and flooding in numerous counties forcing many to evacuate
to temporary locations. Texas Health and Human Services is committed to …

MCQA Glossary – Texas Department of InsuranceTexas.gov

www.tdi.texas.gov

For purposes of this definition, a partnership is the employer of a partner.
Medicaid. A state and federally funded health care coverage program that is
available to eligible residents of the state. The Medicaid program is managed
and monitored by the Health and Human Services Commission (HHSC) of the
State of Texas.

An Audit Report on HealthSpring Life and Health Insurance

www.sao.texas.gov

State Auditor's Office reports are available on the Internet at http://www.sao.texas.
gov/. An Audit Report on. HealthSpring Life and Health Insurance. Company, Inc.,
a Medicaid STAR+PLUS. Managed Care Organization. February 2017. Report
No. 17-025 …

FirstCare Health PlansTexas OIG – Texas.gov

oig.hhsc.texas.gov

Feb 21, 2017 WHY THE IG CONDUCTED. THIS AUDIT. FirstCare is a managed care
organization (MCO) in Texas, and is contracted to provide Medicaid STAR and
CHIP health care services in the. Lubbock Managed Care Service Area and the
Medicaid Rural Service Area –. West. Approximately 84 percent of.

state of texas medicaid managed care rate setting … – Rate Analysis

rad.hhs.texas.gov

Rudd and Wisdom, Inc. has been retained by HHSC to develop the portion of the
managed care capitation rates attributable to pharmacy services for the period
fiscal year 2017. (FY2017, September 1, 2016 through August 31, 2017) for those
managed care organizations (MCOs) participating in the Texas Medicaid and …

An Audit Report on Medicaid Managed Care Contract Processes at …

www.sao.texas.gov

State Auditor's Office reports are available on the Internet at http://www.sao.texas.
gov/. An Audit Report on. Medicaid Managed Care Contract. Processes at the
Health and Human. Services Commission. October 2016. Report No. 17-007 …

Managed Care in TexasMedicaid.gov

www.medicaid.gov

Managed Care in Texas. This profile reflects state managed care program
information as of August 2014, and only includes information on active federal
operating authorities, and as such, the program start date may not reflect the
earliest date that a program enrolled beneficiaries and provided services. Some
states report …

HMO Withdrawal Guidelines – Texas Department of Insurance

www.tdi.texas.gov

(2) the line of insurance from which the HMO is withdrawing is Medicare, a
Medicare+Choice plan or a Medicaid contract as provided in §7.1803(a). If an
HMO comes within an exception, such notification must be sent to the department
simultaneously with any notification required to be provided to any other state or
federal …