Mental Health and Substance Use Services for Adult Members
STAR Kids (State of Texas Access Reform Kids) is the Medicaid-managed healthcare program for low-income families with children who have disabilities. It provides 12 months of health coverage for qualifying children and adults up to 20 years old. To participate in the STAR Kids program, members must be covered by Medicaid and meet at least one of the following conditions:
As a STAR Kids member, you will receive one-on-one help from a dedicated service coordinator. Upon enrolling in the program, members are evaluated, and customized service plans are created to provide the utmost personal care.
Your Primary Care Physician (PCP) will talk to you about your/your child’s needs and help make plans for you to see a specialist that can provide the best care for you. This is called a referral. The Specialty Care Physician collaborates with the PCP to deliver specialty care to members. Learn more about the referral process.
In addition to your regular health benefits, Driscoll Health Plan offers extra services to our members at no cost.
Medicaid covers some durable medical equipment and products normally found in a pharmacy. For all Members, Driscoll Health Plan pays for nebulizers, ostomy supplies, and other covered supplies and equipment if they are medically necessary. For children (birth through age 20), Driscoll Health Plan also pays for medically necessary prescribed over-the-counter drugs, diapers, formula, and some vitamins and minerals.
To learn more, please call Members Services.
To get eye exams or glasses, call Envolve, for Nueces 1-844-305-8300 or Hidalgo 1-844-725-6410. You do not need a referral from your Primary Care Provider for routine eye checkups from ophthalmologists or optometrists in Envolve’s provider network.
Family planning services (such as birth control and counseling) are very private. You can have a once a year visit, counseling, and tests. You can also have drugs and supplies that prevent pregnancy. Ask your primary care provider if he or she offers family planning services such as birth control. If you do not feel comfortable talking with your primary care provider, call Member Services or your Service Coordinator. You can go to any family planning clinic that will take Medicaid.
A network pharmacy can be found on the Pharmacy Network List at driscollhealthplan.com or contact Member Services for help finding a network pharmacy.
You have the right to pick an OB/GYN without a referral from your Primary Care Provider.
