Many Texans with disabilities will transition from traditional Medicaid to Medicaid managed care and how you receive your health care could change.
Who has already transitioned?
Some Texans have already made the transition. People with intellectual and developmental disabilities (I/DD) over 21-years-old began to receive acute care (medical) services through the STAR+PLUS Medicaid managed care program on September 1, 2014. Children and young adults up to 21-years-old, who either receive Social Security Income (SSI) or participate in a waiver program, began to receive their medical benefits from the STAR Kids managed care program on November 1, 2016.
Upcoming transitions to Medicaid managed care
The information below includes the dates and details of future changes that could affect people with disabilities in Texas.
September 1, 2020 — Parts of the Texas Home Living (TxHmL) waiver are expected to become entitlement services in the STAR+PLUS program. People with I/DD with incomes up to 100% of SSI are expected to have access to some long-term services and supports without a wait. The full list of services included as entitlements are currently unknown. Note: The previous date for this change was September 1, 2018. HB 3295 (85th Texas Legislature, 2017) established the new date.
September 1, 2021 — Parts of the Home and Community-based Services (HCS), Community Living Assistance and Support Services (CLASS), and Deaf Blind with Multiple Disabilities (DBMD) waiver programs are expected to roll into the STAR+PLUS managed care program.