| (a) HHSC, in conjunction with CMS, administers the
Dual Demonstration. The Medicare and Medicaid services are provided
through STAR+PLUS Medicare-Medicaid Plans (MMPs).
(b) A STAR+PLUS MMP is a managed care plan contracted
with CMS and HHSC to participate in the Dual Demonstration.
(c) Medicare Advantage and Medicare Part D provided
through this demonstration are the responsibility of CMS.
(d) All other rules in this chapter governing Medicaid
managed care apply to the Dual Demonstration, as applicable, unless
specific deviations are noted in this subchapter.
(e) The Dual Demonstration serves members whose primary
residence is in one of the following counties:
(1) Bexar;
(2) Dallas;
(3) El Paso;
(4) Harris;
(5) Hidalgo;
(6) Tarrant; and
(7) other counties as authorized by a federal waiver
approved by CMS. The dual demonstration will not be implemented in
other counties without prior public notice.
|
