Texas Medicaid: Access respite care benefit for STAR Kids
AI Summary
Texas Medicaid STAR Kids members in specific service areas (Harris, Jefferson, Hidaldo, MRSA Central, MRSA Northeast) can now access 8 hours of supervised respite care at in-network prescribed pediatric extended care centers during business hours. This is a value-added service available from September 1, 2025 through August 31, 2026, for members who have PPECC or private duty nursing services in their health plan.
Action Required
Before September 1, 2025: Billing team should identify STAR Kids members in Harris, Jefferson, Hidalgo, MRSA Central, and MRSA Northeast counties who have PPECC or PDN benefits. Update patient eligibility verification process to check for this respite care benefit. Contact UnitedHealthcare Customer Service at 888-887-9003 to verify patient eligibility for value-added services. Use the Referral Directory to locate in-network PPECCs for member referrals.
Plan Types
Medicaid
States
TX
Specialties
pediatrics