For additional background on the State’s policy decisions regarding the Medicaid Expansion option, see: Background.
Medicaid in Texas:
The Texas Health and Human Services Commission administers the Medicaid Program
Information about the state’s Medicaid program, including patient eligibility information, can be found at: http://www.hhsc.state.tx.us/
Medicaid website provides information about services covered by fee-for-service payments and payment amounts: http://www.hhsc.state.tx.us/.
In order to retain access to all Medicaid patients in the state, providers must also connect to the managed care plans individually.
Medicaid Managed Care:
Some Texas Medicaid Program beneficiaries are enrolled in managed care plans, called STAR.
STAR Beneficiaries Participating in Managed Care:
Managed care plans participating in STAR offer detailed information about covered benefits for individuals enrolling in their plans. This information is available on the managed care websites shown below.
The state Medicaid office is primarily responsible for examining and addressing issues with the Medicaid Managed Care plans offered in the state, and for working with the companies that offer them. If you are experiencing problems as a medical provider with the Managed Care plans or companies operating in the state, or if your patients are experiencing problems with the Managed Care plans or companies in the state, including trouble with access to medications, access to preferred providers, navigating the appeals process, excessive costs, or possible discriminatory policies, or any other problems related to the Affordable Care Act, please report these problems to the state Medicaid Office:
Additionally, if you are experiencing these or other problems, please report these problems to AAHIVM, so that we may track issues affecting our members, and seek additional policies remedies.
Managed Care Plans Participating in STAR:
Aetna Better Health
Blue Cross and Blue Shield of TX
Christus Health Plan
Community First Health Plan
Cook Children's Health Plan
Driscoll Children's Health Plan
El Paso First CHIP
El Paso First Premier Plan
Molina Healthcare of Texas
Right Care Scott and White Health Plans
Sendero Health Plans
Seton Health Plan
TX Children's Health Plan
United Healthcare Community Plan