What is Medicaid?
It is the State of Texas Access Reform (STAR) Managed Care Program (Medicaid). Community provides both Children’s Medicaid and Medicaid for Pregnant Women. These programs are at no cost to U.S. residents who cannot afford health insurance.
How does Medicaid work?
Members choose an HMO and a Primary Care Provider to give them all their primary care services. This includes coordinating referrals for all medically necessary specialty services.
Income determines eligibility. That income level is different based on age and Medicaid program. Children’s Medicaid covers a child up through the month of his or her 21st birthday.
Medicaid for Pregnant Women
Medicaid for Pregnant Women covers a childbearing woman of any age. Members must be at 185% or lower of the Federal Poverty Level (FPL). Members must recertify every year.
What Services Does Medicaid Cover?
Medicaid Members get medical care that includes:
- Hospital care
- Physical/speech/occupational therapies
- Prescription drugs
- Emergency services
- Regular health checkups and immunizations