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TITLE 1ADMINISTRATION
PART 15TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 353MEDICAID MANAGED CARE
SUBCHAPTER GSTAR+PLUS
RULE §353.609Service Coordination

(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

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