Managed Care Expansion

HHSC has announced tentative award contracts for Medicaid, CHIP, and dental managed care services effective March 1, 2012. Below you will find maps of the new service areas, as well as information on the managed care organizations that will be serving each area.

Service Area Maps:
STAR Service Areas and Medicaid Rural Service Area (MRSA)
Medicaid Rural Service Area Regions
STAR+PLUS Service Area
CHIP Service Areas

MCO Provider Representative Contact Information

The prescription drug benefit will also be included in CHIP and Medicaid managed care effective March 1, 2012. Prescription drug benefits will no longer be paid through HHSC's Vendor Drug Program, but managed care organizations will use the same state drug formulary as Medicaid fee-for-service.

HHSC will be hosting a series of provider trainings in the Managed Care Expansion service delivery areas. These meetings will allow HHSC to present information on managed care and providers will be given an opportunity to ask questions relevant to Medicaid and CHIP services.
There is no cost to attend these trainings. Trainings will be conducted in select cities across the state between September and November 2011 in half-day segments. 

Calendar of Trainings

Register for Training Online

For additional information please visit the HHSC Medicaid managed care initiatives webpage at: http://www.hhsc.state.tx.us/medicaid/MMC.shtml.
More info is also available through the TMHP webpage at: http://www.tmhp.com/Pages/PCCM/PCCM_Home.aspx.