Medicaid for IDD

Medicaid is a service that is jointly funded by states and the federal government.

STAR+PLUS Medicaid Program

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

People with complex medical needs can choose to live and receive care in a home setting instead of a nursing facility. Hear Dorothy and Robert’s stories and learn more about HHS home and community-based services.

Long-term services and support includes things like:

  • Help in your home with basic daily activities.
  • Help in making changes to your home so you can safely move around.
  • Short-term care to provide a break for caregivers.
  • Help with things that need to get done.

Another feature of STAR+PLUS is service coordination. A STAR+PLUS staff member works with the person, their family member or support network, and their doctors and other healthcare providers to help them get the medical and long-term services and support they need.

STAR Kids is a Texas Medicaid managed care program that provides Medicaid benefits to children and adults 20 and younger who have intellectual, developmental and physical disabilities.

STAR Kids is designed to meet the unique needs of youth and children with disabilities. The program provides benefits such as prescription drugs, hospital care, primary and specialty care, preventive care, personal care services, private duty nursing, and durable medical equipment and supplies. Children and young adults enrolled in Medically Dependent Children Program (MDCP) receive their MDCP services through STAR Kids.

The following people receive their acute care services and some of their long-term services and supports (LTSS), like private duty nursing, through STAR Kids. They also receive most of their LTSS through the programs listed below. 

Members who either:

  • Have intellectual and developmental disabilities (IDD) and live in a community-based intermediate care facility for individuals with an intellectual disability or related conditions (ICF/IID); or
  • Receive services through one of these programs:
    • Community Living Assistance and Support Services (CLASS)
    • Deaf Blind with Multiple Disabilities (DBMD)
    • Home and Community-based Services (HCS)
    • Texas Home Living (TxHmL)
    • Community ICF/IIDs

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