Texas STAR Kids Medicaid benefits

STAR Kids provides health care for children and young adults who have disabilities or complex health needs.

Medical care is just the beginning

 

With Wellpoint, you’ll also have access to a wide range of services including long-term services and supports, dental care, vision care, and extra benefits like our Healthy Rewards program.

Texas StarKids logo and Texas Health and Human Services Logo

Not sure of your service area?

 

Visit our Know Your Service Area page.

Preapprovals and referrals

 

Preapprovals

A preapproval is when your child’s doctor needs to ask us to approve a service before they receive it. Your child’s doctor will work with us to get the preapprovals your child needs. Please refer to the Referrals and Preapprovals page or visit our provider website for more information..

 

Referrals

Your child may need to visit a specialist or another provider for care or services their primary care provider can’t give them. Your child doesn’t need a referral from their primary care provider to get care from other providers in our plan. This includes behavioral health services, OB/GYN care, and family planning. It’s a good idea to talk to your child’s main doctor first about other types of care they may need. He or she can tell you about other providers in our plan and help you find the care that’s right for you.

The member handbook: Everything you need to know

 

Your member handbook is your go-to guide for health services. Read it to find out about:
 

 

How to use your benefits
 

How to choose a primary care provider
 

How to get help if your doctor’s office is closed
 

How to reach Member Services if you have questions
 

Your rights and responsibilities as an Wellpoint member
 

 

Medicaid (Non-Dual) Member Handbook (English) 

 

Medicaid (Non-Dual) Member Handbook (Spanish) 

 

Medicaid/Medicare (Dual) Member Handbook (English) 

 

Medicaid/Medicare (Dual) Member Handbook (Spanish) 

 

External Medical Review Insert (non-nursing facility) (English) 

 

External Medical Review Insert (non-nursing facility) (Spanish) 

 

STAR Kids Value-Added Benefits Change Insert (English) 

 

STAR Kids Value-Added Benefits Change Insert (Spanish) 

Need a handbook mailed to you?

 

Request a handbook via live chat with Member Services. To have a STAR Kids member handbook mailed to you at no cost, contact Member Services. The handbook will be mailed within five business days of your request.