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Revision Notice 25-5; Effective Dec. 17, 2025
The following sections were revised in the STAR+PLUS Program Support Unit Operational Procedures Handbook:
| Section | Title | Change |
|---|---|---|
| 1260 | Individual Service Plan Cost Limit | Updates RUG acronym with PDPM. |
| 1870 | Texas Medicaid & Healthcare Partnership Long Term Care Online Portal | Updates RUG acronym with PDPM. |
| 3412 | Transferring from One MCO to Another in a Different Service Area | Updates RUG acronym with PDPM. |
| 3514 | STAR+PLUS Individual Residing in a Nursing Facility | Updates RUG acronym with PDPM. |
| 3515 | Non-STAR+PLUS Individual Residing in a Nursing Facility | Adds clarifying language. |
| 7200 | State Fair Hearing Procedures for STAR+PLUS HCBS Program | Adds clarifying language. |
| 7221 | Type of Denials | Adds clarifying language. |
| 7221.2 | Financial Denial by MEPD or TW | Updates CRU acronym to A&M. |
| 7221.4 | Other Denial Reasons | Adds clarifying language. |
| 7222.1 | Continuation of STAR+PLUS HCBS Program During a State Fair Hearing | Updates CRU acronym to A&M. |
| 7310 | Action Taken on the State Fair Hearing Decision | Adds clarifying language. |
| 7400 | State Fair Hearing Decision Actions | Updates state fair hearing decisions. |
| 7410 | Sustained State Fair Hearing Decision | Adds clarifying language. |
| 7421 | Reversed Decision – Effective Date | Adds clarifying language. |
| 7422 | New Assessment Required by State Fair Hearing Decision | Updates RUG acronym with PDPM. |
| Appendix I-D | Reserved for Future Use | Adds appendix titled Loss of Enrollment Report. |
| Appendix I-E | Reserved for Future Use | Deletes appendix. |
| Appendix I-F | Loss of Eligibility Report | Deletes appendix. |
| Appendix VII | Acronyms | Adds LTCOP and PDPM acronyms. |
| Appendix XXIX | STAR+PLUS Plan Codes and Contract Numbers | Adds end dates for MMPs. |
| Appendix XXXV | SASO Data Entry Guide | Replaces RUG with PDPM. |