Texas STAR+PLUS Plan
果冻传媒 offers STAR+PLUS Medicaid in Texas in the Harris service area. We are here to help our members navigate their healthcare journey and coordinate care the way they need it.
View our service area coverage听here.
果冻传媒 offers STAR+PLUS Medicaid in Texas in the Harris service area. We are here to help our members navigate their healthcare journey and coordinate care the way they need it.
View our service area coverage听here.
果冻传媒 offers STAR+PLUS Medicaid in Texas in the Harris service area. We are here to help our members navigate their healthcare journey and coordinate care the way they need it.
View our service area coverage听here.
STAR+PLUS is a Texas Medicaid managed care program for adults who have disabilities or are age 65 or older. Adults in STAR+PLUS get Medicaid health-care and long-term services and supports through a health plan that they choose. More information about how 鈥淒ual-Eligible” Members are affected for PCP selection here.
Learn more about the STAR+PLUS Medicaid benefits today. Our approach to healthcare ensures that you receive the highest quality of care and service at an affordable cost.
STAR+PLUS is a Texas Medicaid managed care program for adults who have disabilities or are age 65 or older. Adults in STAR+PLUS get Medicaid health-care and long-term services and supports through a health plan that they choose. More information about how 鈥淒ual-Eligible Members are affected for PCP selection here.
Read the STAR+PLUS Medicaid Benefits
Nurse advice line available 24 hours a day, 7 days a week. Nurses provide education, nurse-initiated follow-up and network referrals.
Toll-Free: 1.800.206.9052听 | TTY 7-1-1 for Hearing-Impaired
Read about our service area coverage in our STAR+PLUS Member Handbook.
果冻传媒 provides access to comprehensive nursing facility services in accordance with the Texas Health and Human Services Commission (HHSC) guidelines. Our network of nursing facilities offers a range of specialized care options to meet the diverse needs of our members, particularly those requiring long-term or short-term skilled nursing care.
For a list of coverage benefits view the Value Added Services听
These services are valid from 9/1/25 through 8/31/26.
*Restrictions and limitations may apply. **STAR+PLUS members ages 18-200. STAR+PLUS Nursing Facility Medicaid Only members ages 18-200. Only for members in Harris service area.
果冻传媒 follows the Texas Vendor Drug Formulary for STAR+PLUS. Updates to the formulary are managed by the Texas Vendor Drug Program.
Here is how to search:
This search will tell you:
Drugs are listed as 鈥減referred鈥� and 鈥渘on-preferred.鈥� If you need a 鈥渘on-preferred鈥� drug, your doctor will need to submit a special request to get the 鈥渘on-preferred鈥� drug by calling Member Services toll-free at 1.888.435.2850.
Call Envolve Vision Services, 果冻传媒 vision provider, at 1.844.686.4358听| TTY 7-1-1 for Hearing-Impaired.
Call 果冻传媒 toll-free at 1.888.435.2850. If you need a translator.听 In case of an emergency, call 9-1-1 or go to the nearest hospital.
Web site:听
听Local: 713.970.8215 Toll Free: 1.877.343.3108 | TTY 7-1-1 for Hearing-Impaired.
Crisis Hotline: 24 hours a day, 7 days a week. Information is available in English and Spanish.
Call us to get an interpreter. In case of an emergency, call 9-1-1 or go to the nearest hospital.
FCL Dental
Phone: 1.877.727.9570
Web site:听
During normal business hours, call your Dentist to find out how to get emergency services. If you need emergency dental services after the Main Dentist鈥檚 office has closed, call us toll-free at 听1.877.727.9570
or or call TTY 7-1-1.
NEMT Services provide transportation to Non-emergency health care appointments for members who have no other transportation options. These trips include rides to the doctor, dentist, hospital, pharmacy, and any other places you get Medicaid services. These trips do NOT include ambulance trips.听
Call MTM Health, 果冻传媒’s NEMT & Where’s My Ride transportation provider, toll-free at 1.833.502.0131 | TTY 7-1-1 for Hearing-Impaired, available 24 hours a day, 7 days a week.
Get more information about MTM Health.
To speak with a Service Coordinator, please call the Service Coordination hotline at:
Local: 713.295.5004听 Toll Free: 1.888.435.5150听 | TTY 7-1-1 for Hearing-Impaired.
Service Coordination Team is available 8:00 am 鈥� 5:00 pm Monday- Friday, excluding state approved holidays.
The Service Coordinator will:
After a person chooses a managed care organization, like 果冻传媒, to provide their healthcare, they then choose a Primary Care Provider to give them all their primary care services. This includes coordinating referrals for all medically necessary specialty services.
Want to see if your Provider, specialist or hospital is in our network?
Some benefits and services must be reviewed and approved by our Utilization Management Department. Here are some things you should know about utilization management services.
Filing a Complaint: As a STAR+PLUS Member, you have the right to ask for an appeal if you disagree with 果冻传媒鈥檚 answer or if you believe we made a mistake in denial of your requested medical services. You may ask for an appeal or call 果冻传媒 Member Services to help in writing your appeal for submission to the Medical Appeals Department. Call 果冻传媒 Member Services at 1.888.435.2850 or send your appeal to:
果冻传媒, Inc.
Attention: Medical Affairs-Medical Appeals Department
4888 Loop Central Drive, Suite. 600
Houston, TX 77081
Phone: 713.295.2300 or toll-free at 1.888.435.2850 or TTY 7-1-1
Fax: 713.295.7033
You may mail your Behavioral Health appeal to the address below:
果冻传媒 Texas, Inc.
Attention: Medical Affairs-BH Appeals
P.O. Box 1411
Houston, TX 77230
Phone: 713.295.2300 or toll-free at 1.888.435.2850 or TTY 7-1-1
Fax: 713.576.0394/ Attention: BH Appeals Coordinator
For current authorized services to continue, you must file the appeal on or before the later of:
Member Services
Local: 713.295.2300 Toll-Free: 1.888.435.2850 | TTY 7-1-1 for Hearing-Impaired
24 hours a day, 7 days a week, Monday 鈥� Friday, excluding state-approved holidays. Access your Member account online 24 hours a day, seven days a week. Information is available in English and Spanish.
Call us to get an interpreter. In case of an emergency, call 9-1-1 or go to the nearest hospital. Also call for pharmacy and dental information.
Service Coordination Team
Local: 713.295.5004听 Toll Free: 1.888.435.5150听 | TTY 7-1-1 for Hearing-Impaired.
Service Coordination Team is available 8:00 am – 5:00 pm, Monday- Friday, excluding state approved holidays.
After business hours you can leave a message and calls will be returned within one business day or call Member Services hotline at 1.888.435.2850.
In case of an emergency, call 9-1-1 or go to the nearest hospital. If you have trouble hearing or speaking, please call the TTY/TDD line at 7-1-1
STAR+PLUS is a Texas Medicaid managed care program for adults who have disabilities or are age 65 or older. Adults in STAR+PLUS get Medicaid health-care and long-term services and supports through a health plan that they choose. More information about how 鈥淒ual-Eligible” Members are affected for PCP selection here.
Learn more about the STAR+PLUS Medicaid benefits today. Our approach to healthcare ensures that you receive the highest quality of care and service at an affordable cost.
STAR+PLUS is a Texas Medicaid managed care program for adults who have disabilities or are age 65 or older. Adults in STAR+PLUS get Medicaid health-care and long-term services and supports through a health plan that they choose. More information about how 鈥淒ual-Eligible Members are affected for PCP selection here.
Read the听STAR+PLUS Medicaid Benefits
听
Nurse advice line available 24 hours a day, 7 days a week. Nurses provide education, nurse-initiated follow-up and network referrals.
Toll-Free: 1.800.206.9052听 | TTY 7-1-1 for Hearing-Impaired
Read about our service area coverage in our听STAR+PLUS Plan Handbook.
果冻传媒 provides access to comprehensive nursing facility services in accordance with the Texas Health and Human Services Commission (HHSC) guidelines. Our network of nursing facilities offers a range of specialized care options to meet the diverse needs of our members, particularly those requiring long-term or short-term skilled nursing care.
For a list of coverage benefits view the Value Added Services
These services are valid from 9/1/24 through 8/31/25.
*Restrictions and limitations may apply. **STAR+PLUS members ages 18-64. STAR+PLUS Nursing Facility Medicaid Only members ages 21-64. Only for members in Harris service area.
果冻传媒 follows the Texas Vendor Drug Formulary for STAR+PLUS. Updates to the formulary are managed by the Texas Vendor Drug Program.
Here is how to search:
This search will tell you:
Drugs are listed as 鈥減referred鈥� and 鈥渘on-preferred.鈥� If you need a 鈥渘on-preferred鈥� drug, your doctor will need to submit a special request to get the 鈥渘on-preferred鈥� drug by calling Member Services toll-free at 1.888.435.2850.
Call Envolve Vision Services, 果冻传媒 vision provider, at 1.844.686.4358听| TTY 7-1-1 for Hearing-Impaired.
Call 果冻传媒 toll-free at 1.888.435.2850 if you need a translator.听 In case of an emergency, call 9-1-1 or go to the nearest hospital.
Web site:听
听Local: 听713.970.8215 Toll Free: 1.877.343.3108 | TTY 7-1-1 for Hearing-Impaired.
Crisis Hotline: 24 hours a day, 7 days a week. Information is available in English and Spanish.
Call us to get an interpreter. In case of an emergency, call 9-1-1 or go to the nearest hospital.
FCL Dental
Phone: 1.877.727.9570
Web site:听
During normal business hours, call your Dentist to find out how to get emergency services. If you need emergency dental services after the Main Dentist鈥檚 office has closed, call us toll-free at 听1.877.727.9570
or or call TTY 7-1-1.
NEMT Services provide transportation to Non-emergency health care appointments for members who have no other transportation options. These trips include rides to the doctor, dentist, hospital, pharmacy, and any other places you get Medicaid services. These trips do NOT include ambulance trips.听
Call MTM Health, 果冻传媒’s NEMT & Where’s My Ride transportation provider, toll-free at 1.833.502.0131 | TTY 7-1-1 for Hearing-Impaired, available 24 hours a day, 7 days a week.
Get more information about MTM Health.
To speak with a Service Coordinator, please call the Service Coordination hotline at:
Local: 713.295.5004听 Toll Free: 1.888.435.5150听 | TTY 7-1-1 for Hearing-Impaired.
Service Coordination Team is available 8:00 am 鈥� 5:00 pm Monday- Friday, excluding state approved holidays.
The Service Coordinator will:
After a person chooses a managed care organization, like 果冻传媒, to provide their healthcare, they then choose a Primary Care Provider to give them all their primary care services. This includes coordinating referrals for all medically necessary specialty services.
Want to see if your Provider, specialist or hospital is in our network? .
Some benefits and services must be reviewed and approved by our Utilization Management Department. Here are some things you should know about utilization management services.
Filing a Complaint: As a STAR+PLUS Member, you have the right to ask for an appeal if you disagree with 果冻传媒鈥檚 answer or if you believe we made a mistake in denial of your requested medical services. You may ask for an appeal or call 果冻传媒 Member Services to help in writing your appeal for submission to the Medical Appeals Department. Call 果冻传媒 Member Services at 1.888.435.2850 or send your appeal to:
果冻传媒, Inc.
Attention: Medical Affairs-Medical Appeals Department
4888 Loop Central Drive, Suite. 600
Houston, TX 77081
Phone: 713.295.2300 or toll-free at 1.888.435.2850 or TTY 7-1-1
Fax: 713.295.7033
You may mail your Behavioral Health appeal to the address below:
果冻传媒 Texas, Inc.
Attention: Medical Affairs-BH Appeals
P.O. Box 1411
Houston, TX 77230
Phone: 713.295.2300 or toll-free at 1.888.435.2850 or TTY 7-1-1
Fax: 713.576.0394/ Attention: BH Appeals Coordinator
For current authorized services to continue, you must file the appeal on or before the later of:
Member Services
Local: 713.295.2300 Toll-Free: 1.888.435.2850 | TTY 7-1-1 for Hearing-Impaired
24 hours a day, 7 days a week, Monday 鈥� Friday, excluding state-approved holidays. Access your Member account online 24 hours a day, seven days a week. Information is available in English and Spanish.
Call us to get an interpreter. In case of an emergency, call 9-1-1 or go to the nearest hospital. Also call for pharmacy and dental information.
Service Coordination Team
Local: 713.295.5004听 Toll Free: 1.888.435.5150听 | TTY 7-1-1 for Hearing-Impaired.
Service Coordination Team is available 8:00 am – 5:00 pm, Monday- Friday, excluding state approved holidays.
After business hours you can leave a message and calls will be returned within one business day or call Member Services hotline at 1.888.435.2850.
In case of an emergency, call 9-1-1 or go to the nearest hospital. If you have trouble hearing or speaking, please call the TTY/TDD line at 7-1-1
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