Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 353 - MEDICAID MANAGED CARE
Subchapter G - STAR+PLUS
Section 353.609 - Service Coordination
Universal Citation: 1 TX Admin Code ยง 353.609
Current through Reg. 49, No. 38; September 20, 2024
(a) All STAR+PLUS members have access to service coordination. Service coordination includes:
(1) face-to-face and telephonic
contacts between the member and the service coordinator;
(2) development and maintenance of a
comprehensive, person-centered individual service plan (ISP);
(3) coordination, including with providers,
to assist the member in accessing services provided by the STAR+PLUS MCO; and
(4) coordination, including with
providers as appropriate, to assist the member in accessing services provided
by other community entities or service providers.
(b) STAR+PLUS members with a demonstrated need for more intensive service coordination are assigned a single, named service coordinator by the STAR+PLUS MCO. All STAR+PLUS members have access to a single, named service coordinator upon request.
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