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Do you need help getting care?

Are you or your child a STAR Kids member? If so, a service coordinator can help you get care. We may have assigned you a service coordinator when you enrolled with Aetna Better Health® of Texas. If not, you can ask for one. 

Questions?

Just call Member Services at 1-844-STRKIDS (1-844-787-5437) (TTY: 711). We’re here for you 24 hours a day, 7 days a week. Already have a service coordinator? Reach out to them for help.

What does a service coordinator do?

What does a service coordinator do?

Service coordinators work with you or your child to get the right care from birth to age 20. They’re your go-to person for health and community-related needs through the life of your plan. Your service coordinator can help with:

 

Personal support

 

  • Find out your needs and work with you on a plan of care, with actions and goals
  • Screen to decide if you need more help right away 
  • Stay in touch to check up on your health and track your service plan

Resources

 

  • Help you connect with services (covered and noncovered) 
  • Find qualified providers and therapists and talk with them about your care

Education and planning

 

  • Share education and resources for waivers 
  • Help with discharge planning during and after a stay in the hospital or other facility 

Medically Dependent Children Program (MDCP)

 

What is MDCP and how can it help?

The program provides long-term services and supports (LTSS) to help families care for children and young adults ages 20 and younger who are medically dependent. The goal is to help you get care at home, in your own community, instead of long-term care or nursing facilities.

 

These services and supports help with:

 

  • Daily health care and living needs
  • Safety and independence in your home or community
  • Dressing, bathing, going to the bathroom, preparing meals, doing light housework or grocery shopping

We support you in finding local services and supports that help you:

 

  • Enjoy the benefits of living in their community
  • Achieve your personal goals
  • Live and work where you like 

 

Respite care

For the MDCP waiver, we’ll also cover another 10 hours of in-home respite services each month.

 

Learn more about MDCP

 

Other waivers

 

Home and Community-based Services (HCS)

 

Community Living Assistance and Support Services (CLASS)

 

Texas Home Living (TxHmL)

 

Deaf Blind with Multiple Disabilities (DBMD)

 

Youth Empowerment Services (YES)

 

More about waivers

 

Texas Health and Human Services: STAR Kids

 

Coordinating services for children in IDD (intellectual and developmental disabilities) waiver programs and STAR Kids (PDF)

Prepare for the future

Prepare for the future

STAR Kids benefits apply through age 20. Before that, a transition specialist can help prepare adolescent and young adult members for adulthood. They may also work closely with your providers and support network.

 

Transition specialists can help you:

 

  • Get ready for transitioning to adulthood
  • Provide education to help with self-management
  • Apply for community services and resources
  • Find future jobs and job training
  • Find providers for adult care

 

Need help from a transition specialist? Call 1-844-STRKIDS (1-844-787-5437) (TTY: 711).

  • Learn more about your diagnosis and the disease process and progression.
  • Identify alternative caregiver, if needed.
  • Coordinate with school and IEP to ensure consistency with goals.
  • Provide options for career planning and higher education opportunities.

 

For more information contact the Transition Team at TXSKTransition@aetna.com

  • Discuss ways to begin managing your own medical care.
  • Provide guardianship information, and alternatives to guardianship.
  • Start looking for adult providers. (PCP, specialists, dentist)
  • Discuss current and possible future living options.

 

For more information contact the Transition Team at TXSKTransition@aetna.com

  • Verify eligibility for Supplemental Security Income (SSI) if not already in place.
  • Provide guardianship information, and alternatives to guardianship.
  • Start looking for adult providers. (PCP, specialists, dentist)
  • Discuss current and possible future living options.
  • Assess the need for new adaptive aids/equipment due to growth and development.

 

For more information contact the Transition Team at TXSKTransition@aetna.com

  • Review services needing to be moved to programs serving adults.
  • Discuss STAR PLUS, the enrollment process, and the importance of making a timely selection.
  • Ensure adult providers are in place. (PCP, specialists, dentist)
  • Provide guardianship information, and alternatives to guardianship.
  • Discuss current and possible future living options.
  • Assess the need for new adaptive aids/equipment due to growth and development.

 

For more information contact the Transition Team at TXSKTransition@aetna.com

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