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Revision Notice 25-3; Effective Oct. 20, 2025
Revisions
The following sections were revised in the STAR Kids Program Support Unit Operational Procedures Handbook:
| Section | Title | Change |
|---|---|---|
| 1000 | STAR Kids Overview and Eligibility | Changes title to STAR Kids Overview. Clarifies age requirement for MDCP. Updates language and links. |
| 1200 | Medically Dependent Children Program Eligibility | Changes title to MDCP Eligibility. Clarifies age requirement for MDCP and updates language. |
| 1200.1 | Texas Administrative Code Medically Dependent Children Program Eligibility Requirements | Deletes section. |
| 2120 | Inability to Contact the Individual | Updates reference to SKOPH section for denial due to inability to contact the individual. Updates language. |
| 2220 | MCO Coordination | Updates SKH link. |
| 2429 | Delays in Limited NF Stay for an Applicant Not Enrolled in STAR Kids | Changes title to Delays in Limited NF Stays. Updates language and includes processes for limited NF stays exceeding one year. |
| 3210.2 | Reassessment of Medical Necessity Determination | Updates language to clarify OMD role in SK-SAI assessment. |
| 3327 | Individual Service Plan Expiring Report | Updates language. |
| 3430 | Transfer from MDCP to Another Medicaid Waiver Program | Updates language including removing requirement to fax Form H2065-D to MEPD. |
| 6300.2 | Living Arrangement is Not an Allowable Setting | Adds documentation and contact requirements for applicant and member denials. Removes requirement to fax Form H2065-D to MEPD. |
| 6300.8 | Failure to Obtain Physician’s Signature | Adds documentation and contact requirements for applicant denials. Removes requirement to fax Form H2065-D to MEPD. |
| 7213 | State Fair Hearing Evidence Packet | Updates CRU’s name to A&M. |
| 7221 | Type of Denials | Updates CRU’s name to A&M. |
| 7221.2 | Financial Denial by Medicaid for the Elderly and People with Disabilities or Texas Works | Changes title to Financial Denial by MEPD or Texas Works. Updates CRU’s name to A&M. |
| 7221.4 | Other Denial Reasons | Updates language to clarify MCO’s role in processing appeal requests for other denial reasons. |
| 7222.1 | Continuation of Medically Dependent Children Program Benefits During a State Fair Hearing | Changes title to Continuation of MDCP Benefits During a State Fair Hearing. Updates language and adds financial eligibility requirement. Updates CRU’s name to A&M. |
| 7233 | State Fair Hearing Decision | Deletes section. |
| 7310 | Action Taken on the State Fair Hearing Decision | Changes title to Action Taken on Reversed State Fair Hearing Decisions. |
| 7500 | State Fair Hearing Decision Actions | Language updated to clarify types of decisions issued by hearings officers. |
| Appendix XVIII | STAR Kids HEART Naming Conventions | Updates CRU’s acronym to A&M. |
| Glossary | Glossary | Updates definition of applicants and individuals and general language. |