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Texas Medicaid Phone Number

Texas Medicaid Phone Number

In Texas, Medicaid is administered by the Texas Health and Human Services Commission (HHSC). This website can help you find out more information about the program and how you can contact the agency. You can also find out more about the state’s STAR managed care program. In this article, you will learn more about Medicaid in Texas, as well as how much you can expect to pay every month for your health coverage. This article will also provide you with contact information for the HHSC, including their phone number.

Texas Health and Human Services Commission (HHSC) manages Medicaid

The Texas Health and Human Services Commission (HHSC) manages Medicaid by contracting with managed care organizations, which are licensed by the Texas Department of Insurance. These organizations coordinate Medicaid services by contracting directly with doctors and other health care providers. These organizations create networks of providers and must provide all covered medically necessary services. Typically, Medicaid enrollees are expected to use these providers. The Texas Department of Health and Human Services Commission (TxHHSC) also reviews and approves the contracts with managed care organizations.

Under the Texas Health and Human Services Commission, Managed Care Organizations (MCOs) coordinate healthcare services for Medicaid and CHIP members. These organizations must ensure members receive medically necessary services, which can range from preventive care to emergency room visits. Managed care organizations oversee Medicaid benefits in all 254 counties throughout Texas. Medicaid MCOs also coordinate mental health benefits and provide long-term services and supports for specific populations.

Income limits for Medicaid eligibility in Texas

The income limits for Medicaid eligibility in Texas are different than for Medicare. In Texas, a non-disabled adult can be ineligible if they do not have any children, but parents with minor children are considered eligible if they meet certain criteria. The income limit for a single parent is $2,523 per month, while the income limit for a married couple with dependent children is $3,036 per month. The personal needs allowance of $60 per month is not counted in calculating the monthly income.

For institutional or Medicaid waiver, a person’s spouse’s income counts. The non-applicant spouse may qualify for the MMMNA (Minimum Monthly Maintenance Needs Allowance), which is capped at $3,435 a month in 2022. In cases where the applicant spouse earns more than the MMMNA, that income may be transferred to the non-applicant spouse to meet the required level.

Contact information for HHSC

You may need to contact the Health and Human Services Commission (HHSC) in order to receive assistance from the state’s Medicaid program. The agency is headquartered in Austin, Texas, but has offices all over the state. The following list lists their contact information for Texas Medicaid. If you’re unsure of which number to call, try the 2-1-1 Texas program. The number will link you with services and agencies in your area.

Information about STAR managed care program

For individuals and families whose income is too low for private health insurance, the STAR managed care program offers affordable health coverage. The program covers low-income children, pregnant women, and families with at least one member. Members can choose which health plan they want, and a new member must sign up with a plan that serves the community in which they reside. Some plans offer value-added services that are not covered by Medicaid.

The Texas Medicaid STAR managed care program offers preventative care, acute care, and long-term services to eligible adults. STAR Kids also covers the costs of private duty nursing and durable medical equipment. STAR+PLUS covers the costs of preventive and primary health care for people with disabilities. The state has a centralized website with helpful information and a STAR Kids provider directory. Besides the managed care plan, members also receive access to long-term care services through STAR+PLUS.

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