26-3, Miscellaneous Changes

Body

Revision 26-3; Effective Aug. 14, 2026

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

SectionTitleChange
1230U.S. CitizenshipChanges title to Reserved for Future use. Deletes policy language. 
1240Texas ResidencyAdds clarifying language.
1250Medical Necessity DeterminationAdds clarifying language.
1521.3Electronic Mail CommunicationAdds clarifying language.
1750PSU Staff Notification Requirements for Managed Care Compliance and Operations UnitChanges title to PSU Staff Notification Requirements for Program Support Operations Review Team. Adds policy language.
1760MCO Notification Requirements for Applicants and MembersChanges title to PSU Staff Notification Requirements for Managed Care Contracts and Oversight Unit. Adds policy language. 
1770MCO Notification Requirements for PSU StaffChanges title to MCO Notification Requirements for Applicants and Members. Adds policy language.
1780MCO Notification Requirements for PSU StaffAdds new section.
1800PSU Online Database ResourcesDeletes policy language. 
1850Service Authorization System OnlineAdds clarifying language.
3117.1Income and Resource Verifications for MEPDAdds clarifying language.
3117.2Reserved for Future UseChanges title to Unsigned Applications. Adds policy language.
3117.3Unsigned ApplicationsChanges title to Medicaid Eligibility Decisions Pending Past the Program Due Date. Adds policy language.
3117.4Medicaid Eligibility Decisions Pending Past the Program Due DateDeletes section.
3117.5Inquires and ComplaintsDeletes section.
3118Address Changes for Supplemental Security Income IndividualsDeletes section.
3310Intake and Enrollment Changes title to CCSE Referrals for the STAR+PLUS HCBS Program. Adds policy language.
3311.1Interest List ProceduresChanges title to Interest List Management and Enrollment Broker Procedures. Adds policy language.
3312Managed Care EnrollmentAdds clarifying language.
3313Termination of CCSE Services Upon STAR+PLUS HCBS Program EnrollmentAdds clarifying language.
3313.1Procedure for STAR+PLUS HCBS Program ApplicantsDeletes section. 
3313.2Procedure for STAR+PLUS HCBS Program MembersDeletes section.
3320Coordination with Medicaid for the Elderly and People with DisabilitiesUpdates title to Reserved for Future Use.
3321General Eligibility IssuesDeletes section.
3321.1Disability DeterminationsDeletes section.
3322Actions Pending Past the MEPD Due DateDeletes section.
3423Intrapulmonary Percussive VentilatorDeletes section.
3510Money Follows the Person and Managed CareAdds clarifying language.
3511Money Follows the Person ProcedureAdds clarifying language.
6300.2Institutional StayAdds MCCO notification requirements. 
6300.3Voluntarily Declined ServicesAdds clarifying language.
6400Disenrollment Request PolicyUpdates the name for MCCO. 
6500Resetting ISP Records in the TMHP LTCOPUpdates the name of Appendix XXVII.
7210Timely or Non-timely State Fair Hearing RequestUpdates the acronym CRU with A&M. 
7214State Fair Hearing Evidence PacketUpdates the acronym CRU with A&M.
7221.2Financial Denial by MEPD or TWAdds clarifying language.
7410Sustained State Fair Hearing DecisionRemoves good cause example.
7421Reversed Decision – Effective DateAdds clarifying language.
Appendix I-BIndividual Service Plan Expiring Report Adds clarifying language.
Appendix IIGuidelines for Completing Form H1746-A MEPD Referral Cover Sheet Updates title to Reserved for Future Use. Deletes policy language. 
Appendix IVForm H2065-D STAR+PLUS HCBS Program Reason for Denial and Comments Language Adds clarifying language.
Appendix IXTime Calculation Adds clarifying language.
Appendix XIXNursing Facility Counter Logic Updates title to Reserved for Future Use. Deletes policy language. 
Appendix XVServices Available from Other State Agencies Updates title to Reserved for Future Use. Deletes policy language. 
Appendix XXXISTAR+PLUS Members Transitioning from an NF in One Service Area to the Community in Another Service Area Changes title to PSU Activities for STAR+PLUS HCBS Applicants and Members Transitioning from an NF in One Service Area to the Community in Another Service Area. Adds clarifying language.
Appendix XXIIIInstructions and Access to CARE Updates title to Reserved for Future Use. Deletes policy language. 
Appendix XXIVSTAR+PLUS Service Area by CodeUpdates title to Reserved for Future Use. Deletes policy language. 
Appendix XXVCommunity First Choice Support Management Updates title to Reserved for Future Use. Deletes policy language. 
Appendix XXVIIPSU Users H1700 ISP Form User Guide Changes title to TMHP LTCOP STAR+PLUS PSU User Guide.
Appendix XXXRelocation Function Updates title to Reserved for Future Use. Deletes policy language.
Appendix XXXIIISTAR+PLUS HEART Naming ConventionsUpdates Form H1200 upload requirements. 
Appendix XXXVILong Term Services and Supports Updates title to Reserved for Future Use. Deletes policy language. 
Appendix XXXVIISTAR Kids Transition Activities Updates title to Reserved for Future Use. Deletes policy language. 
Contact UsContact Us Updates policy mailbox address.