Get MEDICAID ADVANTAGE MANAGED CARE ENROLLMENT FORM

Most people who have Medicaid in Texas get their coverage through the STAR managed care program. STAR covers low-income children, pregnant women and families. STAR members get their services through health plans they choose.

Centene, Elevance (formerly Anthem), and Texas Children's Health Plan are the three largest Medicaid providers in Texas, covering 54.6% of Texans.

Form 1024 is used to document the waiver benefits that result in an Individual Service Plan (ISP) or Individual Plan of Care (IPC) exceeding the assigned cost ceiling and to establish the medical need and rationale for these items or services.

STAR+PLUS is a Texas Medicaid managed care program for adults who have disabilities or are age 65 or older. People in STAR+PLUS get Medicaid healthcare and long-term services and supports through a medical plan that they choose.

In Texas, there are 5 different types of Medicaid: STAR. STAR+PLUS. STAR Kids....STAR Kids Aetna. Amerigroup. Blue Cross and Blue Shield of Texas. Children's Medical Center. Community First Health Plans. Cook's Children Health Plan. Driscoll Health. Superior Health Plan.

Texas contracts with a total of 16 plans, some of which participate in more than one program.

Medicaid MCOs provide comprehensive acute care and, in some cases, long-term services and supports to Medicaid beneficiaries and are paid a set per member per month payment for these services.

Adults with disabilities who qualify will get Medicaid for the Elderly and People with Disabilities. If you have a disability and work, you might be able to get the Medicaid Buy-In for Adults program.