Texas medicaid and chip uniform managed care manual managed care is a system where the overall care of a patient is overseen by a single provider or organization as a way to improve quality and control costs. As of october 1, 2015, icd10 became the code set for medical diagnoses and. The texas medicaid provider procedures manual is the providers principal source of information about texas medicaid. As of october 1, 2015, icd10 became the code set for medical diagnoses and inpatient. The mission of the texas department of family and protective services dfps is to protect the unprotected children, elderly, and people with disabilities from. Longterm services and support includes things like. Medicaid star and chip provider manual blue cross blue. Contracted providers must acknowledge this provider manual and any other written materials. Bcbstx blue cross and blue shield of texas star state of texas access reform medicaid chip childrens health insurance program hhsc texas health and human services commission providers physicians, other professional providers, facilities and ancillary providers. The state of texas access reform star health program has been added as a. As of october 1, 2015, icd10 became the code set for medical diagnoses and inpatient hospital. Star members get their services through star medicaid managed care program texas health and human services texans can dial 211 option 6 for information on covid19 and local community resources on health care, utilities, food, housing and more. The manual is regularly updated to reflect the most recent policy and procedure changes. Community first health plans star state of texas access reform is a managed care option.
As of october 1, 2015, icd10 became the code set for medical diagnoses. October 7, 2019 changes were announced to the fivestar quality rating system that will be implemented in october 2019. Medicaid benefits are extended until further notice, and texas hhs will. Updates are generally available the month following the effective date of the change. Childrens health plan provider list for prenatal and postpartum care. Effective march 1, 2015, superior began managing members residing in nursing facilities. Ab icd10 for dates of service on or after october 1, 2015. Star medicaid managed care program texas health and. Definition for texas medicaid provider procedures manual is modified to remove the reference to the texas medicaid bulletin. Star and chip quick reference guide health insurance texas. Coordination with nonmedicaid managed care covered. Texas medicaid and chip uniform managed care manual.
Texas health steps services star medicaid members only. This manual is a comprehensive guide for texas medicaid providers. Texas medicaid provider procedures manual texas medicaid bulletin banner messages texas health steps quick reference guide texas medicaid quick reference guide. Star and chip quick reference guide effective january 1, 2020 provider contact information provider customer services 18775608055 provider relations. See the available texas star plan programs and services including womens health, preventative health, vision, and prescriptions. Medicaid star kids provider manual blue cross blue shield of. Welcome to the blue cross and blue shield of texas star kids provider. Texas department of family and protective services dfps.