Overview
STAR Kids will be the first Medicaid managed care program specifically serving youth and children who get disability-related Medicaid.
Beginning Fall 2016, children and youth age 20 or younger who either receive Supplemental Security Income (SSI) Medicaid or are enrolled in the Medically Dependent Children Program (MDCP) will receive all of their services through a STAR Kids health plan. Children and youth who receive services through other 1915(c) waiver programs will receive their basic health services (acute care) through STAR Kids. Children, youth, and their families will have the choice of at least two STAR Kids health plans and will have the option to change plans.
Basic medical benefits, coordination of care
STAR Kids will be tailored to the needs of youth and children with disabilities. The program will provide 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 youth who get additional services through MDCP will receive additional long-term services and supports through STAR Kids.
Through STAR Kids, families also can expect coordination of care. Each health plan will provide service coordination, which will help identify needs and connect members to services and qualified providers. Each member will have their service needs assessed, which will form the basis of that member’s individual service plan.
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