Revision Notice 25-2; Effective July 11, 2025

Program Support Unit (PSU) staff must notify the PSU supervisor by email if the status of a STAR Kids individual service plan (SK-ISP) and the Medically Dependent Children Program (MDCP) Enrollment Form needs to be reset in the Texas Medicaid & Healthcare Partnership (TMHP) Long Term Care Online Portal (LTCOP). The email must include the following:

• an email subject line that reads: TMHP ISP Reset Requested for XX [first letter of the applicant or member’s first and last name];
• the following items in the body of the email:
  • applicant or member’s name;
  • Social Security Number (SSN) or Medicaid identification (ID) number;
  • the SK-ISP record and the MDCP Enrollment Form’s document locator number (DLN); and
  • an explanation of the reason for the reset request.

Note: The explanation must include the correct termination date if the SK-ISP record was terminated on an incorrect date.

PSU staff must refer to Appendix I, PSU User Guide for the SK-ISP Form, for additional direction on moving an SK-ISP record into an invalidated or terminated status in the TMHP LTCOP.