STAR Kids


STAR Kids

Beginning November 1, 2016, Community First Health Plans will provide 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.

Patient Requirements

The STAR Kids Program will cover 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.

Provider Training Schedule

To register for training sessions, please call (210) 358-6030 or email nmcfhp@cfhp.com.

Free online provider education is available, and many include Continuing Education credits. Check out the online options offered by Texas Health and Human Services Commission (HHSC). For additional information on the STAR Kids Program, click on the following Health and Human Services (HHSC) link: https://hhs.texas.gov/services/health/medicaid-and-chip/programs/star-kids. 

Electronic Visit Verification


Child Health Clinical Record Forms - Used by Texas Health Steps 


Provider Manual


Billing Matrix for STAR Kids 

FAQs


Forms


Service Coordinator Lookup


Quick Reference Guide 


Provider Relations Contacts

Service Area

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