Star+Plus Program

STAR+PLUS is a Medicaid Managed Care Program offered by the Texas Health and Human Services Commission (HHSC). This program is designed to provide long-term care services to adults who are not eligible for Medicare but require assistance with daily living tasks due to disability or chronic illness. STAR+PLUS ensures that qualified individuals can receive comprehensive care at home, helping them maintain their independence and dignity.

What is the STAR+PLUS Program?

The STAR+PLUS Program is a managed care program, meaning the state of Texas contracts with managed care organizations (MCOs) to coordinate and provide health care services. This program offers a range of health care and support services for individuals with Medicaid in Texas, focusing on both medical and non-medical needs.

Through STAR+PLUS, patients receive a coordinated system of care that includes personal assistance, home management, and support services to help them live safely in their homes.

Who is Eligible for PCS?

The STAR+PLUS program is available for:

Individuals without Medicare coverage who require long-term services and supports.
Individuals with Intellectual or Developmental Disabilities (IDD) receiving services in an intermediate care facility or through an IDD waiver.
Individuals with one or more of the following waivers:
- Community Living Assistance and Support Services (CLASS)
- Deaf Blind and Multiple Disabilities (DBMD)
- Home and Community-based Services (HCS)
- Texas Home Living (TxHmL)

For children and young adults under 21, enrollment in STAR+PLUS is voluntary. These individuals can choose to participate in STAR+PLUS or continue with traditional Medicaid. Long-term services and supports (LTSS) for children under 21 will continue to be provided through the Department of Aging and Disability Services (DADS).

STAR+PLUS Covered Services

The STAR+PLUS Program provides a range of services aimed at improving the health and well-being of participants.

These services include:

Escort Services

Accompanying individuals on trips to medical appointments for diagnosis or treatment. Note: This service does not include direct transportation by the attendant.

Home Management

Assistance with essential household activities that ensure the patient’s health and safety, such as:

Changing bed linens
Housekeeping
Laundry
Grocery shopping and storing purchased items
Washing dishes

Personal Care
Providing help with activities related to physical health and personal hygiene, including:

Bathing and dressing
Grooming and routine hair and skin care
Meal preparation and feeding
Exercise and mobility support
Medication assistance
Toileting and transferring/ambulatory assistance

These services are designed to help participants live independently while receiving the care they need in a home environment.

Eligibility for CFC

In Texas, Community First Choice (CFC) is available to individuals enrolled in Medicaid, including those receiving services under:

1915(c) Waiver Programs
Medicaid Managed Care
Personal Care Services for Children

Participants may also choose the Consumer Directed Services (CDS) option for specific CFC services, allowing them to manage their own care services.

Contact Us Today!

If you or a loved one qualifies for the STAR+PLUS Program or Community First Choice (CFC) and needs assistance with daily activities, contact Holistic Care Home Health Agency, Inc. today to discuss your care options. Our team is ready to provide the support you need to live safely and independently at home.

Community First Choice (CFC)

Community First Choice (CFC) is a Medicaid state plan option that provides additional services to help individuals with disabilities live independently in their community. CFC services are available to individuals enrolled in Medicaid who meet specific eligibility requirements.

CFC Covered Services

Activities of Daily Living (ADLs)
Assistance with essential daily tasks such as eating, toileting, and grooming, as well as activities related to independent living like housekeeping and meal preparation.
Habilitation Services
Support in acquiring, maintaining, and improving skills necessary for independent living, such as personal care, social interaction, and mobility skills.
Emergency Response Services
Ensuring continuity of care through backup systems or devices that offer immediate response in case of emergencies, ensuring safety for those living alone.
Support Management
Training and education for individuals on how to hire, manage, and dismiss their own attendants, providing more autonomy in their care.