Texas STAR (Medicaid) Plan

Family at birthday party

Texas STAR (Medicaid) Plan

Who is STAR (Medicaid) for?

Medicaid 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.

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Ready to Apply for STAR? Applying is easy. 

How does STAR (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.

Children's Medicaid

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
  • Surgery
  • X-rays
  • Physical/speech/occupational therapies
  • Prescription drugs
  • Emergency services
  • Transplants
  • Regular health checkups and immunizations

Prescription Drug Services​

You can receive medically necessary prescriptions ordered by your doctor or specialist. These prescriptions must be part of the Texas CHIP or Texas Medicaid Vendor Drug Formulary. Some prescriptions require pre-authorization. See what prescriptions are covered on the drug formulary.

Value-Added Services​

A variety of value-added services are available to STAR Members from a 24-hour Nurse Advice Line, to vision services, to resources and allowances toward healthy play and exercise programs. Read More.

Healthy Texas Women Program

Have you lost your Medicaid benefits? The Healthy Texas Women Program provides family planning exams, related health screenings, and birth control to women ages 18 to 44 whose household income is at or below the program’s income limits (185 percent of the federal poverty level).

You must submit an application to find out if you can get services through this program. Visit this site for more information.

General Information
Local: 713.295.2222
Toll-Free: 1.877.635.6736

Monday through Friday (excluding State-approved holidays) 8:00 a.m. to 6:00 p.m

Member Services
Local: 713.295.2294 | Toll-Free: 1.888.760.2600
Monday through Friday (excluding State-approved holidays) 8:00 a.m. to 6:00 p.m.

Provider Services Hotline
Call 713.295.2295, 8:00 a.m. - 5:00 p.m., Monday – Friday

Additional Contact Numbers

How does STAR (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.

Children's Medicaid

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
  • Surgery
  • X-rays
  • Physical/speech/occupational therapies
  • Prescription drugs
  • Emergency services
  • Transplants
  • Regular health checkups and immunizations

Prescription Drug Services

You can receive medically necessary prescriptions ordered by your doctor or specialist. These prescriptions must be part of the Texas CHIP or Texas Medicaid Vendor Drug Formulary. Some prescriptions require pre-authorization. See what prescriptions are covered on the drug formulary.

Value-Added Services

A variety of value-added services are available to STAR members from a 24-hour Nurse Help Line, to vision services, to resources and allowances toward healthy play and exercise programs. Read More

Healthy Texas Women Program

Have you lost your Medicaid benefits? The Healthy Texas Women Program provides family planning exams, related health screenings, and birth control to women ages 18 to 44 whose household income is at or below the program’s income limits (185 percent of the federal poverty level). You must submit an application to find out if you can get services through this program. Visit this site for more information.

Why Choose Community?

As a local nonprofit health plan, Community Health Choice gives you plenty of reasons to join our Community. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, Community is always working life forward for you and your family.

“I always tell people to choose Community Health Choice. I tell them it’s the best health insurance they will ever be with.”

– Chandolyn
Member of Community Health Choice