Mental Health and Substance Use Services for Adult Members

The healthcare system can be overwhelming, but we are here to guide you through the process. We will take the time to understand your child’s requirements and develop a care plan tailored to their health needs. Every STAR Kids member receives this personalized service coordination.

STAR Kids Screening and Assessment Instrument (SK-SAI)

The STAR Kids Screening and Assessment Instrument (SK-SAI) is the tool used to establish a detailed care plan for your child. The care plan is called an Individual Service Plan (ISP).

First, a Service Coordinator will schedule a convenient time to meet with you and complete the assessment. The assessment can be done in your home or at another location of your choice.

Next, together with your Service Coordinator, you will determine which services are right for your child and how much of each service is needed. Your Service Coordinator will then set up necessary authorizations to ensure medical care for your child is not disrupted. While our goal is to maintain your family’s comfort, your child’s current care plan may change after being assessed. Our promise to you is that the well-being of your child is always the priority.

Service Coordinator’s Role:

  • Call you and get to know you and your healthcare, long-term care and behavioral health needs.
  • Use a health risk assessment to determine if you need immediate assistance.
  • Communicate with any case managers, doctors, pharmacists, or other persons necessary to organize your services.
  • Help you find the services you need in your community.
  • Write a care plan with you, your family's, and your doctor's help.
  • Monitor your progress toward your healthcare goals.

Resources

STAR Kids Frequently Asked Questions

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. 

Carson B   0 July 21, 2023  

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. 

Carson B   0 July 21, 2023  

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. 

Carson B   0 July 21, 2023  

A network pharmacy can be found on the Pharmacy Network List at driscollhealthplan.com or contact Member Services for help finding a network pharmacy.

Carson B   0 July 21, 2023  

You have the right to pick an OB/GYN without a referral from your Primary Care Provider.

Carson B   0 July 21, 2023  
Need more help? Call 1-877-324-7543

How to Apply

First, check to see if you qualify. Next, create a member login and complete the online application. If you have any questions, our staff is happy to help. 
grandpa son grandson

Become a Member

Everyone’s situation is unique—and we’re here to help. Explore programs and check eligibility.
Am I Eligible
cross linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram