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The STAR+PLUS Home and Community Based Services (HCBS) program is a program approved for the managed care delivery system, designed to allow individuals who qualify for nursing facility (NF) care to receive LTSS in order to be able to live in the community.Įlements of the STAR+PLUS system are different from traditional service delivery. Service coordination means that plan members, family members, and providers can work together to help members get acute care, LTSS, Medicare services for dually-eligible members and other community support services. It is a specialized case management service for program members who need or request it. Service coordination, available to all members, is the main feature of the STAR+PLUS program. The program has increased the number and types of providers available to Medicaid members. The STAR+PLUS program provides a continuum of care with a wide range of options and increased flexibility to meet individual needs. These services are delivered through providers contracted with managed care organizations (MCOs). The STAR+PLUS program combines acute care and LTSS, such as assisting in a member's home with activities of daily living (ADLs), home modifications, respite (short-term supervision) and personal assistance services (PAS). It does change the way Medicaid services are delivered. The STAR+PLUS program does not change Medicaid eligibility or services. The 74th Texas Legislature implemented the State of Texas Access Reform Plus (STAR+PLUS) program to create a cost-neutral managed care system to combine acute care with long-term services and supports (LTSS). Section 1000, State of Texas Access Reform Plus (STAR+PLUS) Managed Care

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