A single mana ged care organization, Superior Health Plan (Superior), covers this population in all 254 counties (statewide). If you disagree with Superiors internal health plan appeal decision, you also have the right to ask for an External Medical Review at the same time you request a State Fair Hearing. STAR Health Resources Resources Superior wants to make sure you can easily find social services and other resources in your area. We want to help you in any way we can. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Download the free version of Adobe Reader. See the STAR Health website at www.fostercaretx.com. You or your representative must ask for the External Medical Review within 120 days of the date Superior mails the letter with the internal appeal decision. Our staff speaks English and Spanish. Children in DFPS conservatorship (under age 18). Learn how you can help keep yourself and others healthy. You do not need a referral from your doctor to get these services. Superior HealthPlan proudly offers STAR Health, a Medicaid managed care program serving children and youth in foster care. Health Passport collects key member health information and stores it in a secure web application. Superior works with many doctors, clinics and hospitals to care for children in foster care. Services include regular checkups with a doctor, dentist visits, and medicine and vaccines. Espaol. In addition to our LGBTQ+ Resource Guide, you can fill out the self-referral form below. Emotional, behavioral or developmental problems happen. If you do not ask for the External Medical Review within 120 days, you may lose your right to an External Medical Review. Note: no change in health plans for children in STAR Health (foster care) or CHIP Counties: Cameron, Duval, Hidalgo, Jim Hogg, Maverick, McMullen, Starr, Webb, Willacy, Zapata Driscoll Children's Health Plan (STAR) Provider services: 855-425-3247; Prior Authorization and referrals: 877-455-1053 www.dchpkids.com Health Spring (STAR+PLUS) Superiors Find a Provider tool will no longer work in IE. PROVIDER TRAININGSTAR HealthMAR2010.IMHSPROVIDER1. STAR Health is a comprehensive, managed care program designed to better coordinate and improve access to health care for: Children in DFPS conservatorship (under age 18); Youth in CPS extended foster care (ages 18 to 22); Youth who were previously under DFPS conservatorship and have returned to foster care through voluntary foster . In these cases, the doctor must first call Superior. 342. PDF Manual para Miembros Below are also several important phone numbers and a description of some of the services Superior offers members, caregivers, providers and agencies. Coordination of physical and behavioral healthcare. Find resources to help manage a behavioral or medical emergency. To see a list of providers in your area who can do a CANS assessment, click below. Superior HealthPlan offers the services under a contract with the Texas Health and Human Services Commission (HHSC). Young adults who were previously under DFPS conservatorship and have returned to DFPS extended foster care placements through voluntary foster care agreements up to the month of their 21st birthday. Sports/Camp Physicals for children ages 4 to 18 years old. To learn more about Health Passport or how to access it, click on the following links: Health Passport Benefits . HEALTH PASSPORT SHOULD NOT REPLACE OR OVERRIDE RECORDS OBTAINED DIRECTLY FROM STATE AGENCIES OR PROVIDERS. Insurance is the subject matter of solicitation. You can also find helpful services in your area by visiting our findhelp webpage. Superiors Medical Ride Program (NEMT services) provides transportation to non-emergency health-care appointments for members who have no other transportation options. STAR Health For Providers & Agencies Health Passport Vision and hearing care. You can also find more information in theSTAR Health handbook. STAR Health | Texas Health and Human Services Since 2008, Superior HealthPlan has supported children in foster care. 3. For more details on risk factors, terms and conditions, please read the sales brochure carefully before concluding a sale. Hospital care and services. PDF State of Texas Medicaid Managed Care Star Health Program Rate Setting Support for Members Affected by Severe Weather Superior also works closely with foster care families and medical consenters. Children's Medicaid Dental Benefits - DentaQuest You can also call if you need help finding a doctor, scheduling an appointment, getting a new ID card or accessing benefits and services. Network of providers and specialists trained in trauma-informed services and therapy. The customers are warned to make enquiries and be satisfied before they close any transaction. Texas Medicaid Health Plans - UnitedHealthcare Community Plan Superior offers dedicated Account Management Teams located in field offices across Texas. Service Coordinators are available to help you coordinate your/your childs medical and behavioral health care. To ask for an External Medical Review, you or your representative. July 19, 2023. If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. Fast forward to today and Superior continues to set the standard for removing barriers and providing quality health care for both mental and physical health needs through the STAR Health program. Grab the opportunity to work with Indias first Standalone Health Insurance Company. With board-certified pediatricians, in-house labs, modern facilities and a warm practice staff, MD Kids is the best healthcare option for newborns, kids and teens. Download the free version of Adobe Reader. A member must file for a State Fair Hearing within 120 days of the date of the Superior notice denying their appeal. Superior works with many doctors, clinics and hospitals to care for children in foster care. Contact Provider Services for information or questions on benefits, claims, authorizations and billing inquiries. Beginning March 1, 2012, Medicaid and CHIP patients enrolled in Managed Care will no longer receive their pharmacy benefits through the Texas Vendor Drug Program. We are happy that we are part of such service providers. The needs of the people can vary, so know about the different types of insurance and stay protected during uncertainties. If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. We got the right plan that you need. This Important Disclaimer may kindly be read and noted for the benefit of all stakeholders, particularly, customers of the insurance company. Health policies designed to protect you against medical expenses. DFPS - STAR Health - A Guide to Medical Services at CPS - Texas Instead, it has only those that Superior is made aware of via claims and/or state-supplied and provider-supplied data. Learn how to renew your Medicaid enrollment or if you qualify for another Superior plan. Over the Counter Pharmacy Services that will cover $30 every 3 months for over-the-counter medications through a mail order program. As a result, in 2005 HHSC received Legislative direction to design a comprehensive medical services delivery model to meet the healthcare needs of children in DFPS conservatorship. In April 2008, the STAR Health program was the first of its kind to be implemented., Effective September 1, 2015 a newly enhanced STAR Health program is in place with new benefits and services! Contact Provider Services for information or questions on benefits, claims, authorizations and billing inquiries. People who meet the Texas Department of Family and Protective Services (DPFS) eligibility requirements for Adoption Assistance or Permanency Care Assistance (AA or PCA) programs get Medicaid through managed care. Schedule an appointment: 210-358-4000. Superior HealthPlan offers the services in all 254 Texas counties under a contract with the Texas Health and Human Services Commission (HHSC). 115/1, Financial District, Nanakramguda, Gachibowli, Hyderabad 500032 Website: https://www.irdai.gov.in. Superior wants to help all children in foster care get well and stay well. Registered Office: No 1, New Tank Street, Valluvarkottam High Road, Nungambakkam, Chennai 600034IRDAI Registration No: 129 | CIN : L66010TN2005PLC056649 | Ph: 044-28288800 | Fax: 044-28260062 | Email: info@starhealth.in | Website: www.starhealth.inToll Free Number -1800-425-2255 / 1800-102-4477 | Corporate Customers - 044 43664666, Insurance Regulatory And Development Authority Of IndiaSy No. Faqian Li | University Health UT Health San Antonio. An External Medical Review is an optional, extra step you can take to get the case reviewed for free by an Independent Review Organization before the State Fair Hearing through HHS. Contact Us - Foster Care Texas - STAR Health Home Get Medicare Part A, enrolled in Medicare Parts B and D, and get full Texas Medicaid benefits. Most AAPCA members are enrolled in STAR. Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software. Superior works with many doctors, clinics and hospitals to care for children in foster care. Young adults who have remained in DFPS extended foster care placements up to the month of their 22nd birthday. Medical consenters should request a PCP who is a Texas Health Steps provider. Please use Microsoft Edge, Google Chrome, Firefox or a mobile web browser. Superior wants to make sure you can easily find social services and other resources in your area. As a member of Superior, you can call Member Services at 1-866-912-6283 if you have questions about your health plan. Star Health and Allied Insurance Co Ltd, IRDA licensed stand-alone health insurer, hereby makes it clear to customers and would be customers and those visiting this website, run officially by this company for its benefit and the interest of its stakeholders, that there could be websites or entities running duplicate sites and offering for sale products belonging to this company. Top Story | ANC (20 July 2023) - Facebook explores major milestones and the positive impact STAR Health has on the more than 32,000 children and youth in foster care across Texas. PDF Contract and Credentialing Checklist for Individual and Group Providers I have been with Star Health Insurance for the past 8 years, and have applied for two claims in that time. The doctor will talk to you about your/your childs needs and will help make plans for you to see the specialist that can provide the best care for you. Health insurance is a valid contract between an insurance company (insurer) and the policyholder (insured) enforceable in a court of law. Our best Insurance Policy is just a click away! Looking for an Insurance? They can also help you get a provider's: More information on how to choose a PCP or a specialist can be found in your member handbook. You can look at the STAR Health Resource Guide for your area to learn more about some of the services available. Treatment of special health needs and pre-existing conditions. Keep track of benefits, checkups and other important information. STAR Health is a statewide, comprehensive healthcare system that was designed to better coordinate and improve access to health care for: STAR Health provides a full-range of Medicaid covered medical and behavioral health services for children in DFPS conservatorship and young adults in DFPS paid placements. If the issue is not resolved in a timely manner, caregivers should contact their CPS caseworker. Depending on the medical need, it may take up to a few weeks after you make the appointment to see the specialist. Access to medical specialists and mental health care. These plans include: Commercial Plans 90 DEGREE BENEFITS AETNA (including BSWQA Coventry & First Health and Texas Health) BAYLOR SCOTT & WHITE HEALTH PLAN BLUE CROSS/BLUE SHIELD of TEXAS (including City of Dallas) BUC-EE'S EMPLOYEES CHILDREN'S HEALTH SYSTEM OF TX EMPLOYEES CHRISTIAN HEALTHCARE MINISTRIES The resources Superior provides can help address questions and concerns youth and parents may have. For more information on the STAR Health program and to learn more about the services, please call Superior HealthPlans Member Services at 1-866-912-6283 or visit theSTAR Health website. To learn more about Health Passport or how to access it, click on the following links: Please note Health Passport is not an Electronic Medical Record (EMR). Superior has many specialists who will work with you and your doctor to care for your needs. . Caseworkers should let the DFPS well-being specialist know of any issues or concerns about STAR Health. PDF STAR Health Provider Training SHP 20151119 You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Speedy enrollment for immediate health care benefits. For Members & Caregivers Superior HealthPlan offers the services in all 254 Texas counties under a contract with the Texas Health and Human Services Commission (HHSC). Download the free version of Adobe Reader. I'm the caretaker of a child in foster care and want more information on health insurance. We want to help you in any way we can. When children enter the foster care system, they are immediately entered into the STAR Health Medicaid plan. Star Health Insurance helped me a lot when I was in need. Your supplies will be replaced even if you are temporarily outside of the county in which you live. STAR Health covers children and youth in Child Protective Services (CPS) foster care and kinship placements, 18 -21 year olds who are in a DFPS placement, and young adults who receive Medicaid from the Former Foster C are Program. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. offers mental health and physical health services to strengthen communication, encourage transparency and improve overall . So why worry about out-of-pocket expenses when you can avail cashless treatment? You can easily search for help for services like health, transportation, food, housing and education. Some specialist referrals from your/your childs doctor may need approval from Superior to make sure the specialist is a Superior specialist, and the visit to the specialist or the specialty procedure is needed. Clinical service management and disease management, Help-lines for consumers and healthcare providers, Physical, occupational, speech, and other health-related services, Complex case management for children with high medical or behavioral health needs. IE has been replaced by Microsoft Edge. Well-being specialists are DFPS liaisons to Superior HealthPlan, the company that operates the STAR Health provider network. If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. Expanded vision benefits providing $150 for choice of upgraded eyeglass frames and lenses or contact lenses not covered by Medicaid. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Superior is required to facilitate the most cost-effective mode of transportation that meets a members individual need. Abigail Talley | University Health Updating Provider Demographic Information, About Texas Foster Care Centers of Excellence. Review theFind a Provider Flyer (PDF)for more information on our tool before you begin your search. Up to $30 every quarter for over-the-counter items that are not covered by Medicaid. To find out which nursing facilities are in Superior's network, you can call us at1-866-912-6283 or search our Find a Provider online tool. Learn about the Texas Medicaid health plans, Dual Special Needs Plans and individual and family plans we offer in Texas. This will ensure high visibility and many readers! Sharing local resource guides that list LGBTQ+ support centers, such as counseling and STD and HIV testing sites. All rights reserved. They can also help you get a provider's: More information on how to choose a PCP can be found in your member handbook. These services are available to these children no matter where they are in the state and even when they move. If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. Learn how you can help keep yourself and others healthy. Superior provides extra benefits and services for STAR Health members. PDF Texas Medicaid Quick Reference Guide - TMHP Superior supports those who identify as Lesbian, Gay, Bisexual, Transgender or Questioning (LGBTQ+). By publishing your document, the content will be optimally indexed by Google via AI and sorted into the right category for over 500 million ePaper readers on YUMPU. What's Covered for Members Dental benefits for you or your child includes statewide coverage and the following services: Exam cleaning and fluoride treatment every six (6) months STAR Health (Foster Care) Provider Services: 1-877-391-5921. This new video. Star Health Insurance: Medical, Accident and Travel insurance policies Simply call Superior Member Services. Sports or camp physicals for members ages 4 to 18 years old. Specially crafted policy for senior citizens to stay financially protected. The email is not encrypted and is not transmitted in a secured format. Personal medical information for STAR Health members, all in one place. If you speak another language or need an interpreter, call Member Services for help. Medical Consenters, health care providers, DFPS caseworkers and STAR Health staff may have access to the information. If you/your child has a visit, receives services from a specialist without your doctors referral, or if the specialist is not a Superior provider, you might be responsible for the bill. Updating Provider Demographic Information, About Texas Foster Care Centers of Excellence. If you have an emergency or crisis, call 9-1-1 or visit the nearest hospital or emergency room. These are called Value-added Services. Along with cashless treatment facilities these hospitals also provide seamless services. Psychiatric hospital diversion programs called Turning Point in Houston, Dallas, San Antonio, and Abilene for children and youth in foster care (including Kinship placements). It will NOT necessarily contain ALL immunizations, visits, allergies, labs or medications. Superior HealthPlan proudly offers STAR Health, a Medicaid managed care program serving children and youth in foster care. Your Dental Plan Children's Medicaid Dental Benefits Children's Medicaid Dental Benefits Find out what is covered by your Texas Medicaid dental plan. Our Member Services staff is available from 8 a.m. to 5 p.m. Monday through Friday. English and Spanish-speaking nurses are available. Superior will review the request for specialty services and respond with a decision. . Superior is the only health program to include STAR Health coverage for children and youth in foster care in all 254 counties in Texas. If you cannot find a supplier, call Member Services to find one for you. Accepted Insurance | Hospitals in Dallas - Methodist Health System STAR Health members can get regular checkups, exams, primary care and specialist care when needed. Behavioral Health:https://findaprovider.fostercaretx.com/location To choose a doctor or Primary Care Provider (PCP), call Superior Member Services. Our staff speaks English and Spanish. Star Health Insurance offers flexible insurance policies for securing you and your loved ones. Program-Specific Contact Information Your doctor might want you/your child to see a special doctor (specialist) for certain health-care needs. Are you sure you want to delete your template? Simply call Superior Member Services. Dallas, Fort Worth, Houston, TX | MD Kids Pediatrics - MD Medical Group The DFPS caseworker for the child contacts the regional well-being specialist for help with STAR Health. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. DFPS staff may also reference the DFPS Regional Boundaries Map (PDF) to find which CANS provider listing is applicable to their area. Superior offers resources to help educate and connect youth, parents and those working with youth who identify as LGBTQ+. Health is not a destination but a journey. Simply call Superior Member Services. I can confidently recommend Star Health Insurance to all my friends. This premature death is often associated with untreated and even preventable illnesses. You should request your rides as early as possible, an at least two working (business) days before you need the ride, SafeRide But, I satisfied with the service Star Health Insurance has provided me, they also have friendly support personnel. You may name someone to represent you by writing a letter to Superior telling us the name of the person you want to represent you. * This means members can get: Visit our Value-added Services webpage for more information. Medical Consenters, health care providers, DFPS caseworkers and STAR Health staff may have access to the information. Updating Provider Demographic Information, Texas Health and Human Services Commission (HHSC), Texas Ombudsman Managed Care Assistance Team, About Texas Foster Care Centers of Excellence, Fill out the State Fair Hearing and External Medical Review Request Form provided as an attachment to the Member Notice of Superior's Internal Appeal Decision letter and mail or fax it to Superior by using the address or fax number at the top of the form; or. A: Medical consenters can encourage their current healthcare provider to join the network by calling one of the numbers below and ask the representative to contact the doctor or provider in question about joining the network. Medical advisory committees to monitor healthcare provider performance. X-rays and lab tests. Superior does not accept responsibility or liability for any loss or damage arising from the use of email. More than a decade ago, I met a scared 15-year-old who was trying to recover her life after having been kidnapped by a pimp and sold for . Faqian Li, MD. STAR Health members who want to file a state fair hearing can call 1-877-398-9461. You have already flagged this document.Thank you, for helping us keep this platform clean.The editors will have a look at it as soon as possible. Service Coordination is a special kind of care management. Boys & Girls Club Membership for children ages 6 through 18 years old. Download the free version of Adobe Reader. Medical advice help-line for caregivers,medical consenters and caseworkers - 24 hours a day, 7 days a week. Get maximum coverage at times of medical needs. You will need Adobe Reader to open PDFs on this site. PDF Health Care for Texas Children in Foster Care: Star Health Vision:visionbenefits.envolvehealth.com/locate/all/search Access to medical specialists and mental health care. Updating Provider Demographic Information, About Texas Foster Care Centers of Excellence. Extensive healthcare protection for your family. PDF Superior Health Plan - Webinar 1 - Envolvehealth.com DentaQuest is Superior's dental services provider and they can help you find a dentist in your area. Easily manage your foster childs health. Coronavirus Disease 2019 (COVID-19) is a disease that causes respiratory illness in people and can spread from person to person. You can request NEMT services through Superiors Medical Ride Program provided by SafeRide. A: Go to the nearest emergency room in a life-threatening situation. To ensure the safety of your protected health information (PHI), please send us a message through the Secure Member Portal, or you can call us at1-866-912-6283 to speak directly to a customer service representative. This means that Superior will help with health care and behavioral and social needs. A representative from STAR Health will speak with the provider to resolve the situation. Simply call Superior Member Services. Studies show adults who live with mental illness die on average 2 decades earlier than their peer age group. They can give you the name, address and phone number of a doctor or specialist. Providing books with educational information about what other LGBTQ+ youth have experienced. Dental:www.dentaquest.com/state-plans/regions/texas/. These STAR Health services may include: Superior has also established Foster Care Centers of Excellence across Texas. Treatment of special health needs and pre-existing . A: STAR Health providers can accept three forms of proof that the child is enrolled in the STAR Health Program: If the provider has questions about the child's eligibility, the caregiver can call STAR Health Member Services at 1-866-912-6283 while still at the provider's office. If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. Children in the Texas foster care program get Medicaid through the STAR Health program. Try it today! STAR Health (Foster Care) Provider Services:1-877-391-5921. We can help. $20 gift card and journal for members ages 6 to 20 who go to a follow-up doctor visit within 7 days of their mental health or substance abuse related hospital stay. Small grants in the form of gift cards for members to be used for non-Medicaid covered benefits and other items up to $50 per member, per year. Digital Innovation of the Year (Health Insurance) - 2023, Most Innovative New Product of the Year - 2020, Best BFSI Brands by Economic Times - 2019, One stop solution for all Policy details. You will need Adobe Reader to open PDFs on this site. In order to expedite your call, please have the following: Tax Identification number, NPI, member ID, DOB, billed amount and date of service available. Some of the many new enhancements to the STAR Health program are included in more detail in the flyer below. Some of these new services include: For a child enrolled in the STAR Health program, DFPS staff, caregivers and medical consenters can get information and help with finding a provider, scheduling an appointment, or getting services by: The medical consenter for a child in the program should present the child's STAR Health ID Card, his or her Texas Benefits Medicaid Card, or DFPS Designation of Medical consenter Form 2085-B at the time of the appointment.
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