STAR Kids

To get STAR Kids services, an individual must:

• Be age 20 or younger.
• Currently get Supplemental Security Income-related Medicaid or be enrolled in a home and community-based services waiver program, including:
  • Medically Dependent Children Program (MDCP).
  • Home and Community-based Services (HCS).
  • Community Living Assistance and Supports Services (CLASS).
  • Deaf Blind with Multiple Disabilities (DBMD).
  • Texas Home Living (TxHmL).
  • Youth Empowerment Services (YES).

• Prescription drugs.
• Primary and specialty care.
• Hospital care.
• Personal care services.
• Private duty nursing.
• Therapies.
• Medical supplies and equipment.
• Behavioral health services.

In 2016 when STAR Kids started, children and youth under the age of 21 who received Social Security Income (SSI) and were enrolled in STAR or STAR+PLUS transitioned to STAR Kids. Children and youth who were enrolled in the Medically Dependent Children Program (MDCP) began to get of their services through STAR Kids.

Superior offers STAR Kids in the following service areas:

• Bexar
• El Paso
• Hidalgo
• Lubbock
• MRSA West
• Nueces
• Travis 

Click here for the HHSC Texas Managed Care Service Areas map (PDF).

Superior HealthPlan wants to make sure your child gets the right care. That's why we offer Value-added Services for our members. These are extra health-care services you or your child may be able to get in addition to regular benefits.* Visit our Value-added Services webpage for more information. If you want to learn more about these extra benefits, call STAR Kids Member Services at 1-844-590-4883.

• Up to $500 towards nursing facility stay expenses. Eligible members must participate in the Money Follows the Person (MFP) process for Medically Dependent Children Program (MDCP).
  
• In-home respite services for members not in the Medically Dependent Children Program (MDCP).**
• Up to $30 every quarter, per member for commonly-used over-the-counter items.
• Up to $150 each year for members to enroll in an approved extra-curricular activity.
• $20 gift card and journal for members who complete a follow-up appointment within 7 days of leaving the hospital for an inpatient behavioral health or substance abuse stay.
• 15 home-delivered prepared meals per year for the household following a member’s discharge from an acute inpatient hospital stay.
• Online resources. Online mental health and nicotine recovery resources.
• Annual school/sports physicals for members 4 to 18 years old.
  
• Joy for All™ battery-operated plush companion pet for members enrolled in Behavioral Health Disease Management for at least 30 days.
• $25 reward for members 18 to 20 years old who successfully complete their transition assessment on time.
• $15 reward for successful completion and submission of proper guardianship paperwork, including notarized documents for members 18 to 20 years old.
• $25 reward per quarter for members who enroll in Consumer Directed Services (CDS) for Personal Care Services (PCS).***
• $25 reward for members 11 to 16 years old who participate in a wellness activity, non-school sports program or a community physical activity. ****
• My Health Pays^®, a rewards program for completing health-related activities. Rewards include:
  • $20 for completing a Texas Health Steps checkup within 90 days of joining Superior
  • $120 for completing 6 Texas Health Steps checkups on schedule (birth to 15 months)
  • $20 for completing a yearly Texas Health Steps checkup (3 to 20 years old)
  • $20 for members 18 to 20 years old old getting a well-woman exam (for females)
  • $10 for members 18 to 20 years old getting a flu shot
• Help for members with asthma. Members enrolled in Asthma Disease Management for 60 continuous days get an allergy free mattress cover and pillowcase.
• Start Smart^® program for pregnant women. Rewards include an educational baby shower, diaper bag, diapers, access to a mobile app for pregnancy-related support and up to $100 for healthy activities related to your pregnancy and delivery.
• Members may get up to $150 for their choice of upgraded eyeglass frames and lenses or contact lenses not covered by Medicaid, once every two years.
• Age-appropriate learning bundle to promote focus and engagement during tasks for eligible members 4 to 16 years old with a qualifying diagnosis who: *****
  • Complete their annual Screening and Assessment (SAI) timely, and;
  • Have a signed Individual Service Plan (ISP) and;
  • Are up to date with their Texas Health Steps checkups.
• $25 reward per year to non-MDCP members after 90-days of continuous enrollment who: ******
  • Complete their annual STAR Kids Screening and Assessment timely, and;
  • Return the signed Individual Service Plan and;
  • Are up to date with their Texas Health Steps checkups.
• Wearable fitness tracker for members 6 to 20 yearsold enrolled in/participating in the Disease Management Lifestyle Program for at least 60 continuous days who: ******
  • Complete a Lifestyle Program related goal, and;
  • Complete their annual SAI timely, and;
  • Have a signed Individual Service Plan (ISP) and;
  • Are up to date with their Texas Health Steps checkups.

Visit My Health Pays® for more rewards information.

These services are valid from 9/1/24 through 8/31/25.

*Restrictions and limitations may apply. **32 hours for members in Hidalgo and Nueces service delivery areas. 8 hours for members in all other service delivery areas. ***Only available to members in Bexar and Hidalgo service delivery areas. ****Only available to members in Nueces and Hidalgo service delivery areas. ***** Only available to members in Lubbock, Nueces, and MRSA West service delivery areas. ******Only available to members in MRSA West and Lubbock service delivery areas.

For more information on STAR Kids, visit the HHSC Texas STAR Kids website.