An important information and enrollment meeting about Medicaid managed care options will be held Tuesday, July 8, from 10 a.m. to 12 p.m., at Palo Pinto General Hospital in Mineral Wells. The hospital is located at 400 S.W. 25th Avenue.
Older adults who have Medicaid and those with intellectual and developmental disabilities who are on Medicaid will get some or all health-related services through a managed care plan beginning Sept. 1.
The informational meeting will help individuals and families learn more about the choices that will be available in Palo Pinto County. At the session, individuals can sign up with a STAR+PLUS health plan or change their current plan to a STAR+PLUS plan if they are enrolled in the STAR program, sign up with a primary care provider, and register to get an identification card.
Basic medical services for people with Medicaid only and people with intellectual and developmental disabilities will be provided by their health plan’s network of doctors, hospitals and other providers. Basic medical services includes doctor visits, hospital visits, and prescriptions.
Community-based long-term services and supports includes personal assistance, respite, medical supplies, and other services. Individuals with intellectual and developmental disabilities will continue to use their current system of accessing these services. People with Medicaid only will access long-term services and supports through their managed care plan.
Individuals on both Medicare and Medicaid will continue to use Medicare for their basic medical services and prescriptions. When they need community-based long-term services and supports, those with Medicare and Medicaid will access them through a managed care plan.
The state’s program for Medicaid managed care is called STAR+PLUS. Most people in Texas who have Medicaid already get their health services through the STAR+PLUS program. By expanding to Palo Pinto County and other rural counties, the program will cover the entire state.