STAR+PLUS
Welcome to the STAR+PLUS provider page! Enjoy easy access to key resources for STAR+PLUS providers.
STAR+PLUS resources
The STAR+PLUS program provides an integrated approach to healthcare delivery that addresses those services members may require in the acute, behavioral, functional, social and environmental areas.
The program administers acute and long-term services and supports (LTSS) to the eligible populations through a managed-care system. Service coordination is a major feature of STAR+PLUS and involves specialized, person-centered thinking for members.
Service coordinators provide assistance to members, their families, member representatives and providers to develop a detailed service plan and administer assistance according to the member's needs. Including:
- Acute care
- Behavioral health
- Environmental care
- Functional care
- Home and community-based care
STAR+PLUS links
HHSC Medicaid Managed Care Initiatives Overview
HHSC Nursing Facility Rate Information
STAR+PLUS training
Long-term services and supports provider orientation
Employment Assistance and Supported Employment
Community first choice training
Long-Term Care Provider Webinar Training Schedule
Long-Term Services And Supports Demographic Information Form
Nursing facility resources
Nursing facilities are required to notify Wellpoint within one business day of:
- New admission for an existing member
- Discharge of a member due to:
- Emergency care
- Hospitalization
- Death
- Extended leave from the facility
- Significant change in condition
Complete the nursing facility notification form
Documents
Nursing Facility Provider Manual
Quick Reference Guide for Nursing Facility Providers
Nursing Facility Member Handbooks
Nursing facility updates
Nursing Facility Provider Billing Reminders and Updates
Nursing facility forms
Credentialing/Letter of Interest Form — Facility
Nursing Facility Demographic Information Form
Non-emergency Ambulance Exception Form
Non-emergency Ambulance Prior Authorization Request Form
Nursing Facility Notification Fax Form
Skilled Nursing Facility Participation Criteria & Capability Survey
Change of Ownership Checklist for Nursing Facility providers
Nursing facility training
STAR+PLUS and MMP Overview for Nursing Facility Providers
Nursing Facility Provider Webinar Training Schedule
Nursing Facility Provider Advisory Group
Contact
Network Relations Consultant Assignments
Medicare-Medicaid Plan program
Wellpoint STAR+PLUS MMP is a Texas plan contracted with CMS and Texas Health and Human Services Commission (HHSC).
Wellpoint STAR+PLUS MMP integrates care and reimbursement for Texas members who have Medicare Part A, Medicare Part B, Medicare Part D and Medicaid benefits (dual-eligible members) and consolidates their care through one Medicare-Medicaid Plan for full access to both their Medicaid and Medicare benefits.
By consolidating the responsibility for all the covered services into a single plan, we see improved quality of care for the members; maximize the member’s ability to remain safely in their homes and communities; and improve continuity of care across acute care, long-term care, behavioral health and home- and community-based services using a patient-centered approach.
Wellpoint STAR+PLUS MMP offers this plan for dual-eligible members who reside in one of four counties: Bexar, El Paso, Harris and Tarrant.
Documents
STAR+PLUS MMP (Medicare-Medicaid Plan) Provider Manual
Related information
Interested in becoming a provider in the Wellpoint network?
We look forward to working with you to provide quality service for our members.