If your doctor cannot be reached to approve a prescription, you may be able to get a three-day emergency supply of your medication.
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.
If your doctor cannot be reached to approve a prescription, you may be able to get a three-day emergency supply of your medication.
Contact your Service Coordinator if your child needs to see a doctor or provider that is out of the area. We want to make sure your child keeps getting the care and services needed during the transition into STAR Kids. Driscoll Health Plan will authorize services that are out of the area when it is the best interest of your child.
Your primary care provider or another doctor is available by phone 24 hours a day, 7 days a week. If you get sick at night or on the weekend you can call your primary cares provider’s office number for help. The office will have an answering service or message on how to contact your primary care provider. Your primary care provider should return your call within 30 minutes.
You may also visit an in-network after-hours clinic or urgent care center for sudden illness. You should contact your primary care provider’s office if you are unsure about going to an after-hours clinic or urgent care.
As soon as you have your new address, give it to the HHSC benefits office by dialing 2-1-1 and call Member Services toll-free, for Nueces SA: 1-844-508-4672 or Hidalgo SA: 1-844-508-4674. Before you get Medicaid services in your new area, you must call Driscoll Health Plan, unless you need emergency services. You will keep getting care through Driscoll Health Plan until HHSC changes your address.
If you get a bill, call Member Services and we can help you. We can call the provider’s office for you. You are not responsible for co-pays, deductibles, and services that are not covered by Medicaid.
