Community Health Choice is one of the Texas Medicaid STAR+PLUS plans and provides services that are covered benefits of the Medicaid Program.

Some of the covered benefits include:

• Emergency and non-emergency ambulance services;
•  Audiology services, including hearing aids, for adults and children;
•  BH Services, including: a. Inpatient mental health services for adults and children. Inpatient psychiatric hospital services provided in a free-standing psychiatric hospital to Members under age 21 or ages 65 and older are not subject to a day limitation for services; b. MHR and Mental Health TCM for individuals who are not dually enrolled in Medicare and Medicaid outpatient mental health services for adults and children; c. Psychiatry services; d. Counseling services for adults (21 years of age and over); e. SUD treatment services, including: i. Outpatient services, including: (1) Assessment; (2) Withdrawal management services; (3) Counseling (individual and group); and (4) MAT; ii. Residential services, which may be provided in a CDTF in lieu of an Acute Care inpatient Hospital setting, including: (1) Residential withdrawal management; and (2) Residential treatment (including room and board)
•  Prenatal care provided by a physician, Certified Nurse Midwife (CNM), Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), and physician assistant in a licensed birthing center;
•  Birthing services provided by a physician and CNM in a licensed birthing center;
•  Birthing services provided by a licensed birthing center;
•  Cancer screening, diagnostic, and treatment service;
•  Chiropractic services;
• CFC services, including:
  a. PAS;
  b. Habilitation;
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  c. Emergency response services; and
  d. Support consultation;
•  Day Activity and Health Services (DAHS);
• Dialysis;
• DME and supplies;
• Emergency Services;
• Family planning services; 15. Home health care services provided in accordance with 42 C.F.R. § 440.70, and as directed by HHSC;
• Hospital services, inpatient, and outpatient;
• Laboratory;
• Mastectomy, breast reconstruction, and related follow-up procedures, including:
  a. Outpatient services provided at an outpatient hospital and ambulatory health care center as clinically appropriate; and physician and professional services provided in an office, inpatient, or outpatient setting for:
  i. All stages of reconstruction on the breast(s) on which medically necessary mastectomy procedure(s) have been performed;
  ii. Surgery and reconstruction on the other breast to produce symmetrical appearance;
  iii. Treatment of physical complications from the mastectomy and treatment of lymphedemas; iv. Prophylactic mastectomy to prevent the development of breast cancer; and v. External breast prosthesis for the breast(s) on which medically necessary mastectomy procedure(s) have been performed;
• Medical checkups and CCP services for Members under 21 years of age through the THSteps Program;
• NEMT Services, including: a. Demand response transportation services, including NEMT prearranged rides, shared rides, and public transportation services; b. Mass transit; c. Individual Transportation Participant (ITP) mileage reimbursement; d. Meals; e. Lodging; f. Advanced funds; and g. Commercial airline transportation services, including out of state travel;
• NF Services;
• Oral evaluation and fluoride varnish in the Medical Home in conjunction with THSteps medical checkup for Members under 21 years of age;
• Outpatient drugs and biologicals, including pharmacy-dispensed and provideradministered outpatient drugs and biologicals, and drugs and biologicals provided in an inpatient setting;
• PAS (State plan);
• PCS for Members under 21 years of age;
• Podiatry;
• Prenatal care;
• PPECC services for Members under 21 years of age;
• Preventive services including an annual adult well check for patients 21 years of age and over;
• Primary care services;
• PDN services for Members under 21 years of age;
• Radiology, imaging, and X-rays;
• Specialty physician services;
• Specialty Therapies – physical, occupational and speech therapies;
• Transplantation of organs and tissues;
• Vision services, including optometry and glasses. (Contact lenses are only covered if they are medically necessary for vision correction that cannot be accomplished by glasses.); 19
• Telemedicine;
• Telemonitoring, to the extent covered by Tex. Gov’t Code § 531.0216; and
• Telehealth.

• Waiver of the three-prescription per month limit, for Members not covered by Medicare;
• Waiver of the $200,000 individual annual limit on inpatient services; and
• The 30-day spell of illness limitation for hospital inpatient services described in the State plan does not apply to STAR+PLUS Members with SPMI.

• STAR+PLUS HCBS PAS;
• Nursing services (in-home);
• Emergency response services (emergency call button);
• Home delivered meals;
• Dental services;
• Respite care, including in-home or out-of-home respite;
• Minor Home Modifications;
• Adaptive Aids and medical supplies;
• Specialty Therapies;
• Adult foster care;
• Assisted living;
• Transition Assistance Services (TAS);
• Cognitive rehabilitation therapy;
• FMS;
• Support consultation;
•  Employment assistance;
  a. Members receiving similar services through a program funded by the Rehabilitation Act of 1973 or the Individuals with Disabilities Education Act may not receive Employment Assistance through STAR+PLUS HCBS.
• Supported employment;