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Medicaid Managed Care for CSHCN Services Program Clients
On March 1, 2012, the managed care model for Medicaid in Texas expanded statewide. DSHS is working with the Texas Health and Human Services Commission (HHSC) to make sure you know about the changes. Note: The changes only apply to you if you have Texas Medicaid coverage. Here is more important information:
- You need a medical plan. If you did not have a medical plan, HHSC should have sent a packet in the mail encouraging you to pick one. The packet described the medical plans and how to enroll. If you did not pick a medical plan by February 10, 2012, HHSC picked one for you. You can check the provider directories of the medical plans offered in your service area to find out which doctors are in which medical plan. If you have questions, call 1-800-964-2777. You also can call that number if you need help finding a provider. You can learn more about the medical plans and services by going to a meeting in your area. To see a list of these meetings, go to the Community Outreach Meeting Calendar.
- Your prescription drug benefit may change. Your medical plan has network pharmacies where you can fill your prescriptions. Contact information for your medical plan is on Your Texas Benefits Medicaid card and the member ID card that your medical plan sent to you. If you have both Medicare and Medicaid, you will continue to get your prescription benefit through Medicare.
Medical Transportation Changes
How you set up a ride to and from your healthcare appointments will change soon in the Houston/Beaumont and Dallas/Fort Worth areas. A new provider will set up rides for you. You will receive letters about the change.
In the Houston/Beaumont area, the new service begins on March 15. Medical Transportation Management (MTM) is the new provider. It will serve the following counties: Austin, Brazoria, Chambers, Fort Bend, Galveston, Hardin, Harris, Jasper, Jefferson, Liberty, Matagorda, Montgomery, Newton, Orange, Polk, San Jacinto, Tyler, Walker, Waller and Wharton. Call MTM toll-free at (855) 687-4786 to set up a ride beginning March 15.
In the Dallas/Fort Worth area, the new service begins on April 16. LogistiCare is the new provider. It will serve the following counties: Collin, Dallas, Denton, Ellis, Hood, Hunt, Johnson, Kaufman, Navarro, Parker, Rockwall, Tarrant and Wise. The LogistiCare toll-free phone number to set up a ride will be mailed to you.
There is no change for clients in other parts of Texas.
Benefits for All Clients on the Waiting List
The Children with Special Health Care Needs (CSHCN) Services Program is pleased to announce time-limited benefits for eligible clients on the waiting list. The clients may get benefits beginning March 1 through August 31, 2012.
Letters have been mailed to the eligible clients and include a green Eligibility Form that shows the dates when the client can get benefits. The clients have been sent a Client Handbook. The handbook tells about the program benefits and how to get them.
Please read the Limited Services Frequently Asked Questions (FAQ) for answers to general questions.
Clients receiving time-limited services are not being removed from the waiting list. They will maintain their current placement in the waiting list.
Clients are still required to renew their eligibility on time.
To learn more or to ask questions about the CSHCN Services Program, call toll-free 1-800-252-8023.
Send comments or report broken links by e-mail to CSHCN Services Program.