STAR+PLUS Medicaid Long-Term Care Health Plans
Making a Positive Difference in the Lives of Texans: Coordinating Medicaid Acute Care and Long-term Care
Since its inception, the STAR+PLUS program has dramatically improved lives in Texas—improving the quality of care, enhancing access to that care, and providing more choices to beneficiaries—all while saving taxpayer dollars by making sure patients get the right care at the right time and in the right place. The success of the STAR+PLUS program is due in large part to its structure. Through STAR+PLUS, Texas was one of the first states in the country to create a Medicaid health plan that integrates and coordinates long-term care and acute care, with a focus on ensuring the least restrictive and most appropriate setting for each individual.
STAR+PLUS Resources:
STAR+PLUS: Making a Positive Difference in the Lives of Texans
A resource guide on how STAR+PLUS operates in Texas
May 2016
Previously, under the fee-for-service (FFS) model, Texans with disabilities generally had to navigate services on their own. Today, under the STAR+PLUS managed care program, these Texans have access to a service coordinator who identifies an individual’s needs, helps develop a plan of care, coordinates health care benefits, and facilitates access to community resources, whether those resources are covered by Medicaid or not.
STAR+PLUS Overview
PowerPoint presentation on the outcomes and operations of the STAR+PLUS program.
August 2016
STAR+PLUS is the primary health care delivery model for individuals age 65 or older and individuals with disabilities in Medicaid.It Integrates acute care and long-term care to promote quality and access to care in the least restrictive, most appropriate setting.
STAR+PLUS Medicaid Managed Care Program
PowerPoint presentation on the outcomes and operations of the STAR+PLUS program.
May 2016
STAR+PLUS Medicaid health plans have had a positive impact on Texans’ lives by increasing focus on community care and maintaining independence, integrating acute care and long-term care to promote quality and access to care, improving the overall quality of care, and reducing costs and potentially preventable events.
Testimony to Senate Health and Human Services Committee
PowerPoint presentation on long-term care quality and oversight and the STAR+PLUS program.
February 2016
TAHP made several recommendations to the Texas Senate Committee on Health and Human Services, to further promote initiatives set forth in the STAR+PLUS health plan model with a primary focus on long-term care.
Testimony to House Committee on Human Services
PowerPoint presentation on aging Texans and the outcomes and oversight STAR+PLUS program.
December 2015
TAHP addressed the House Committee on Human Services on the challenges facing the health care system due to an aging population that requires more long-term care for chronic diseases. This segment of the population also has an increased need for caregivers as well as long-term services and supports.
Map of STAR+PLUS Service Regions
May 2016
The state of Texas is broken down geographically based on the STAR+PLUS Medicaid health plans providing service in the various regions.