A. Unique Features of STAR Health

STAR Health provides a full-range of Medicaid covered medical, dental, vision, prescription and behavioral health services, including:

•   A Medical Home for each child, meaning a doctor, or other Primary Care Provider (PCP), or PCP Team to oversee care

•   Immediate enrollment for immediate health care benefits

•   Licensed and degreed MCO staff who coordinate physical and behavioral healthcare and access to other non-Medicaid benefits and resources

•   Access to healthcare through a network of providers (doctors, nurses, hospitals, clinics, psychiatrists, therapists, etc.) specifically recruited for their history and expertise in treating children who have been abused or neglected and who are offered ongoing trainings on such issues

•   The Health Passport electronic health record, which makes available a history of healthcare visits, immunizations, lab results, prescriptions, and service plans to medical consenters, caseworkers, and healthcare providers

•   Psychotropic Medication Utilization Reviews to determine if the prescribed medication regimen meets the required guidelines and is within the standard of care

•   Service management and service coordination teams led by licensed and degreed managed care organization (MCO) staff who coordinate physical and behavioral health care and access to other non-Medicaid benefits and resources for complex cases

•   Nursing and Behavioral Health 24/7 help-lines for caregivers and caseworkers

•   Medical advisory committees to monitor healthcare provider performance