(a) Enrollment in the State of Texas Access Reform
(STAR) program is mandatory for Medicaid
recipients who meet the criteria in one or more of the following categories:
(1) individuals age 21 and over who are eligible for
the Parents and Other Caretaker Relatives program outlined in Subchapter
G of Chapter 366 of this title (relating to Medicaid for Parents and
Caretaker Relatives Program);
(2) pregnant women receiving medical assistance with
household income that meets the applicable income limits specified
in Subchapter C of Chapter 366 of this title (relating to Pregnant
Women's Medicaid);
(3) newborns receiving medical assistance--Children
through 12 months of age with household income equal to or less than
the FPL level specified in Subchapter E of Chapter 366 of this title
(relating to Children's Medicaid) or born to Medicaid-eligible mothers;
(4) children receiving medical assistance age 13 months
through the month of his or her 18th birthday with household income
equal to or less than the FPL specified in Subchapter E of Chapter
366 of this title;
(5) FFCC members age 21 through the month of his or
her 26th birthday; and
(6) children who meet both of the following criteria:
(A) are receiving medical assistance through the Texas
Department of Family and Protective Services Adoption Assistance Program,
as described in Title 40 of the Texas Administrative Code, Chapter
700, Subchapter H (relating to Adoption Assistance Program); or Permanency
Care Assistance Program, as described in Title 40 of the Texas Administrative
Code, Chapter 700, Subchapter J, Division 2 (relating to Permanency
Care Assistance Program); and
(B) are not eligible for STAR Kids, as described in
Subchapter N of this chapter (relating to STAR Kids).
(b) FFCC STAR Health members ages 18 through 20 may
choose to transfer to the STAR program and remain enrolled through
the month of his or her 26th birthday.
(c) MTFCY STAR Health members may transfer to the STAR
program.
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Source Note: The provisions of this §353.802 adopted to be effective March 1, 2012, 37 TexReg 1283; amended to be effective September 1, 2014, 39 TexReg 5873; amended to be effective September 1, 2017, 42 TexReg 4273 |