Medicaid health and long-term care services
The way you get Medicaid services depends on where you live in Texas and what kind of health issues you have. In most parts of the state you get services through one of the following Medicaid networks:
If you don't know which Medicaid network you’re in, call this free number: 1-877-787-8999.
Primary Care Case Management (PCCM)
PCCM mainly serves children, families with low income, pregnant women, and adults with medical or physical disabilities who don’t have Medicare.
If you are in PCCM, you get most of your health care from one main doctor, nurse, or clinic. You can also get extra help finding specialists and services. Your long-term care services are provided through Traditional Medicaid or the Department of Aging and Disability Services (DADS).
To learn more
- A map of counties that PCCM covers
- More information about PCCM services
- The PCCM handbook
- Find a doctor, nurse, or clinic in the PCCM program
STAR
The STAR program mainly serves children, families with low income, and pregnant women. You get services through a health plan (also called a health maintenance organization or HMO). You pick the health plan that meets your needs the best. Your long-term care is provided through Traditional Medicaid or the Department of Aging and Disability Services (DADS).
To learn more
- A map of counties that STAR covers
- More information about STAR services
- STAR handbooks and other information for the STAR health plans
- Compare services offered by the STAR health plans in your part of the state.
- Current report on the quality of care for people who get health-care services in the STAR program
- Find out about customer complaints about the health plans
- Customer satisfaction information for the STAR health plans
- See what action the state took if a health plan didn't meet standards
- Financial reports for each of the STAR health plans
STAR+PLUS
STAR+PLUS offers health care for people who have Medicaid. It also provides long-term care services for people who are elderly, have a long-lasting illness, or have a disability.
Some people in STAR+PLUS get both Medicare and Medicaid. They get regular health care through Medicare and long-term care services through Medicaid.
In STAR+PLUS, Your long-term care services are provided through a health plan (also called a health maintenance organization or HMO). You pick the health plan that meets your needs the best.
To learn more
- A map of counties that STAR+PLUS covers
- More information about STAR+PLUS services
- Compare services offered by the STAR+PLUS health plans in your part of the state
- STAR+PLUS handbooks and other information for the STAR+PLUS health plans
- Current report on the quality of care for people who get health-care services in the STAR+PLUS program
- Find out about customer complaints about the health plans
- Customer satisfaction information for the health plans
- See action the state took if a health plan didn't meet standards
- Financial reports for each of the STAR+PLUS health plans
Traditional Medicaid
You get Traditional Medicaid if you are not in a PCCM, STAR, or STAR+PLUS network.Your long-term care services are provided through the Department of Aging and Disability Services (DADS).
To learn more
- Find out more about Medicaid
- Handbook for Traditional Medicaid
- Search for a doctor, clinic, or hospital in the Medicaid program (or call 1-800-335-8957)
Updated: July 10, 2012