Texas MMP: Harris County members converting to new UnitedHealthcare plans
AI Summary
Effective January 1, 2026, UnitedHealthcare Connected Medicare-Medicaid Plan (MMP) members in Harris County, Texas will automatically transition to a new integrated Dual Eligible Special Needs Plan (D-SNP) combining UnitedHealthcare HIDE SNP for Medicare services and UnitedHealthcare STAR+PLUS for Medicaid services. To maximize ability to see these members and receive payment for both Medicare and Medicaid services, providers must be enrolled in both UnitedHealthcare Medicare Advantage and UnitedHealthcare Community Plan of Texas networks.
Action Required
Before January 1, 2026: Billing team must verify provider enrollment in both UnitedHealthcare Medicare Advantage and UnitedHealthcare Community Plan of Texas networks to maximize ability to see transitioning members. Medicare-only providers should enroll with Texas Health and Human Services Commission's Medicaid program to receive payment for Medicaid-only services or cost-sharing. Update billing workflows to submit claims to UnitedHealthcare for coordinated Medicare and Medicaid benefits processing. No action needed for existing prior authorizations as they will automatically transfer to new policies.
Plan Types
Medicare Advantage, Medicaid
States
TX
Specialties
all-specialties