26-1, Miscellaneous Changes

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Revision Notice 26-1; Effective March 16, 2026 

The following sections were revised in the STAR Kids Program Support Unit Operational Procedures Handbook:

SectionTitleChange
2100Activities Following an MDCP Interest List ReleaseIncorporates the first position interest list option.
2100.1Individuals Enrolled in STAR Kids Changes title to MDCP ILR: Individuals Enrolled in STAR Kids. Incorporates the first position interest list option.
2100.2Individuals Enrolled in STAR HealthChanges title to MDCP ILR: Individuals Enrolled in STAR Health. Incorporates the first position interest list option.  
2100.3Individuals Enrolled in STAR and Individuals Receiving Other Types of MedicaidChanges title to MDCP ILR: Individuals Enrolled in STAR and Individuals Receiving Other Types of Medicaid. Incorporates the first position interest list option. 
2100.4Individuals Not Receiving Medicaid or Individuals Enrolled in CHIP  Changes title to MDCP ILR: Individuals Not Receiving Medicaid or Individuals Enrolled in CHIP. Incorporates the first position interest list option.
2210Individuals Enrolled in STAR and Individuals Receiving Other Types of MedicaidIncorporates the first position interest list option.
2210.1 Individuals Not Receiving Medicaid or Individuals Enrolled in CHIPIncorporates the first position interest list option.
5000SB 1207 Interest List OptionsAdds new section. 
5100First Position Adds new section. 
5200Advanced PlacementAdds new section.
5300 MDCP State Fair Hearing, First Position and Advanced Placement Request ScenariosAdds new section.
5400First Position and Advanced Placement Assignments: PSU Staff ProceduresAdds new section.
5400.1Advanced Placement Assignments and First Position Assignments Without a State Fair Hearing Adds new section.
5400.2First Position and Advanced Placement Assignments Following a Sustained MN DenialAdds new section.
5400.3First Position and Advanced Placement Assignments Beyond 120 Days Adds new section.
6300.5Medical Necessity and Level of CareUpdates language to incorporate the MN denial call campaign and the first position and advancement placement options.  

7221.1

 

Medical Necessity Denial by Texas Medicaid & Healthcare PartnershipChanges title to Medical Necessity Denial by the Office of the Medical Director. Updates language.

7510

 

Sustained State Fair Hearing DecisionUpdates language.

7510.1

 

Sustained State Fair Hearing Decision for ApplicantsUpdates language.

7510.2

 

Sustained State Fair Hearing Decision for Members With Continued MDCP BenefitsUpdates language to incorporate the first position and advancement placement options.

7510.3

 

Sustained State Fair Hearing Decision for Members Without Continued MDCP BenefitsUpdates language to incorporate the first position and advancement placement options.
7510.4First Position and Advanced Placement Requests After a Sustained MN Denial Adds new section.
GlossaryGlossaryAdds new terms and definitions.
Appendix XVIII STAR Kids HEART Naming ConventionsUpdates language.
Appendix XXIVFair Hearing and Interest List Options for MDCP Denials - MembersChanges tile to MDCP Medical Necessity Denial Attachment – Members. Changes language in attachments and makes them accessible. 
Appendix XXVIIFair Hearing Options for MDCP Denials - ApplicantsChanges tile to MDCP Medical Necessity Denial Attachment – Applicants. Changes language in attachments and makes them accessible. 
Appendix XXIXFair Hearing and Interest List Options for Aging Out of MDCPChanges language in attachments and makes them accessible.
Appendix XXXIISTAR Kids Companion PlansAdds STAR Kids companion plan codes. 
Appendix XXXIIIScenario Guide for MDCP State Fair Hearing, First Position and Advanced Placement RequestsAdds new Appendix.