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 managed care organization (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, a web-based, secure health information tool which utilizes claims data to provide information on healthcare services including, Texas Health Steps medical checkups, immunizations, lab results, prescriptions, the Family Strengths and Needs Assessments (FSNA), the Texas Child and Adolescent Needs and Strengths (CANS) 2.0 assessments, Psychotropic Medication Utilization Reviews, and service plans to medical consenters, caseworkers, and healthcare providers;

•   Psychotropic Medication Utilization Reviews to determine if the prescribed medication treatment meets the guidelines of the Psychotropic Medication Utilization Parameters for Children and Youth in Foster Care;

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

•   STAR Health liaisons who work directly with DFPS Well-Being Specialists to assist with resolving any barriers to services that children in foster care might encounter;

•   Transition coordinators to assist youth with activities to ensure a smooth transition to independence and adulthood, including referrals to support services, as needed;

•   Nursing and Behavioral Health 24/7 helplines for caregivers and caseworkers; and

•   Medical advisory committees to monitor healthcare provider performance.