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STAR Kids


STAR Kids

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Community First Health Plans provides health care for children and youth who receive disability-related Medicaid in the Bexar service delivery area. The program is the first Medicaid managed care program specifically for people who are 20 and younger, have a disability, and use Medicaid.

The STAR Kids Program covers children and youth ages 20 and younger who receive Supplemental Security Income-related Medicaid, live in a community-based intermediate care facility for individuals with an intellectual disability or related condition (ICF/IID) or nursing facility, or are enrolled in a home and community based services waiver program including:

  • Medically Dependent Children Program (MDCP)
  • Home and Community-based services (HCS)
  • Community Living Assistance and Support Services (CLASS)
  • Deaf Blind with Multiple Disabilities (DBMD)
  • Texas Home Living (TxHmL)
  • Youth Empowerment Services (YES)

Program Benefits and Services

STAR Kids is designed to meet the unique needs of children and youth with disabilities. The program will include access to benefits such as:

  • Prescription drugs
  • Hospital care
  • Primary and specialty care
  • Preventive care
  • Personal care services
  • Private duty nursing
  • Durable medical equipment and supplies
  • MDCP services

Children who receive Medicare will keep using Medicare for basic health services and prescriptions ordered by their doctor. Families will receive assistance with coordinating care. Community First Health Plans will provide service coordination, which will help identify needs and connect members to services and qualified providers. Community First’s service coordinators will assess each member’s specific needs to help the family and health plan create a unique individual service plan. Service coordinators will provide a standard screening and assessment, STAR Kids Screening and Assessment (SK-SAI), to determine each child’s needs as they relate to health and independent living.

Contact

Member Services: (210) 358-6403 or toll-free 1-855-607-7827
Monday-Friday 8 a.m.-5 p.m.

Nurse Advice Line: (210) 358-6403 or toll-free 1-855-607-7827
24 hours a day, 7 days a week

Member Handbook


Referrals, Authorizations, Continuity of Care


Using of Out of Network Providers & Services


Find a Provider


FAQs


Value-Added Benefits


Service Coordinator Lookup 


Service Area

Community First’s STAR Kids service area includes the following counties: Atascosa, Bexar, Comal, Guadalupe, Kendall, Medina and Wilson.

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