Texas Administrative Code (Last Updated: March 27,2024) |
TITLE 1. ADMINISTRATION |
PART 15. TEXAS HEALTH AND HUMAN SERVICES COMMISSION |
CHAPTER 353. MEDICAID MANAGED CARE |
SUBCHAPTER G. STAR+PLUS |
SECTION 353.609. Service Coordination
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(a) All STAR+PLUS members have access to service coordination. Service coordination includes: (1) face-to-face and telephonic contacts between the member and the service coordinator; (2) development and maintenance of a comprehensive, person-centered individual service plan (ISP); (3) coordination, including with providers, to assist the member in accessing services provided by the STAR+PLUS MCO; and (4) coordination, including with providers as appropriate, to assist the member in accessing services provided by other community entities or service providers. (b) STAR+PLUS members with a demonstrated need for more intensive service coordination are assigned a single, named service coordinator by the STAR+PLUS MCO. All STAR+PLUS members have access to a single, named service coordinator upon request. Source Note: The provisions of this §353.609 adopted to be effective September 1, 2017, 42 TexReg 4273