26-3, Miscellaneous Changes

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Revision Notice 26-3; Effective Aug. 14, 2026

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

SectionTitleChange
1200MDCP EligibilityUpdates language. 
1210 Medical Necessity DeterminationChanges title to Age. Updates language.
1210.1Reserved for Future UseDeletes section.
1210.2Medical Necessity Approval Time Frame for Initial Eligibility DeterminationsDeletes section. 
1220Individual Cost LimitChanges title to Texas Residency. Updates language. 
1230Unmet Need for at Least One Medically Dependent Children Program ServiceChanges title to Medical Necessity Determination. Updates language. 
1230.1Medical Necessity Approval Time Frame for Initial Eligibility DeterminationsAdds section.
1240AgeChanges title to Unmet Need for at Least One MDCP Service. Updates language. 
1240.1Individual Service Plan Cost LimitAdds section.
1250 Citizenship and Identity Verification Changes title to Living Arrangement. Updates language. 
1260Living Arrangement and Texas ResidencyChanges title to Financial Eligibility. Updates language. 
1260.1Individual with a Qualified Income TrustAdds section.
1260.2Copayment and Room and BoardAdds section.
1260.3Copayment Changes Adds section
1270Financial EligibilityDeletes section. 
1270.1Individual with Qualified Income TrustDeletes section.
1270.2Copayment and Room and BoardDeletes section.
1270.3Copayment ChangesDeletes section. 
1610Confidential Nature of Medical Information - Health Insurance Portability and Accountability Act Changes title to Confidential Nature of Medical Information – HIPAA. Updates language.
1631Program Support Unit Communications with Managed Care OrganizationsChanges title to Privacy Incidents. Updates language. 
1632PSU Posting Errors in the MCOHubAdds section.
2130 Declining Medically Dependent Children Program ServicesDeletes section. 
2230MDCP ILR: PSU Staff Coordination Removes requirement to fax Form H1746-A to MEPD noting approved MDCP services for non-MAO applicants.
6300.7Exceeding the ISP Cost LimitClarifies and updates language.
7110PSU Staff Compliant Escalation ProceduresChanges title to Privacy Complaints. Updates language. 
7120PSU Staff Compliant Escalation ProceduresAdds section.
7201Timely or Non-timely State Fair Hearing RequestAdds clarifying language.
7510Sustained State Fair Hearing DecisionUpdates language.
7521Reversed Decision – Effective DateAdds clarifying language. 
Appendix XVIIISTAR Kids HEART Naming ConventionsClarifies and updates language.  
TOCContact UsUpdates PES policy’s mailbox address.