{"data":{"id":"us-tx/tex.-government-code-540.0851","jurisdiction":"us-tx","citation":"Tex. Government Code § 540.0851","heading":"STAR KIDS MANAGED CARE PROGRAM.","body":"(a) In this section, \"health home\" means a primary care provider practice or specialty care provider practice that incorporates several features, including comprehensive care coordination, family-centered care, and data management, that are focused on improving outcome-based quality of care and increasing patient and provider satisfaction under Medicaid.\n(b) Subject to Sections 540.0701 and 540.0753, the commission shall establish a mandatory STAR Kids capitated managed care program tailored to provide Medicaid benefits to children with disabilities. The program must:\n(1) provide Medicaid benefits customized to meet the health care needs of program recipients through a defined system of care;\n(2) better coordinate recipient care under the program;\n(3) improve recipient:\n(A) access to health care services; and\n(B) health outcomes;\n(4) achieve cost containment and cost efficiency;\n(5) reduce:\n(A) the administrative complexity of delivering Medicaid benefits; and\n(B) the incidence of unnecessary institutionalizations and potentially preventable events by ensuring the availability of appropriate services and care management;\n(6) require a health home; and\n(7) for recipients who receive long-term services and supports outside of the Medicaid managed care organization, coordinate and collaborate with long-term care service providers and long-term care management providers.\nAdded by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.","path":["GOVERNMENT CODE","TITLE 4. EXECUTIVE BRANCH","SUBTITLE I. HEALTH AND HUMAN SERVICES","CHAPTER 540. MEDICAID MANAGED CARE PROGRAM","SUBCHAPTER R. DELIVERY OF SERVICES: STAR KIDS MANAGED CARE PROGRAM"],"source_url":"https://statutes.capitol.texas.gov/Docs/GV/htm/GV.540.htm#540.0851","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:16Z","sha256":"69640ac92a547791348b05be1c6803e9fac9640572a3074b057d6b2cadcc48d5","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-government-code-540.0807","next":"us-tx/tex.-government-code-540.0852"},"notice":"GroundRules: Original legal text. Not legal advice."}