1300, STAR+PLUS Services and Service Delivery Options

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Revision 26-1; Effective Feb. 20, 2026

The STAR+PLUS Home and Community Based Services (HCBS) program provides individuals with many services necessary to allow the individual to remain in, or return to, a community setting. Providers contracted with managed care organizations (MCOs) provide STAR+PLUS HCBS program services identified on the individual service plan (ISP). The MCO completes all initial and annual service planning activities, and verifies, authorizes, coordinates and monitors services.  The STAR+PLUS HCBS program offers acute and long-term services and supports (LTSS). Refer to 4000, STAR+PLUS HCBS Program Services, for additional information on available services.  

STAR+PLUS members choose to participate in the agency option (AO), consumer directed services (CDS) option or service responsibility option (SRO) delivery models.

  • The member works with the MCO to coordinate service delivery for each service in the ISP, in the AO model.
  • The member is given the authority to self-direct designated services, in the CDS model. The MCO coordinates delivery of non-member-directed designated services if the member chooses to self-direct these services. Providers employed by the member or authorized representative (AR) must be qualified personnel to provide authorized services when services are necessary in the CDs model. These personnel may be employed directly by, or through, personal service agreements or subcontracts with the providers. A member's services and service providers must be based on an MCO assessment of the member’s individual needs. 
  • The provider is the attendant's employer and handles the business details, in the SRO model. Business detail examples include paying taxes and doing the payroll. The provider also orients attendants to provider policies and standards before sending them to members' homes. The member or designated representative (DR) is responsible for most of the day-to-day management of the attendant's activities. This starts with interviewing and selecting the person who will be the attendant.