What is STAR Kids?

The STAR Kids Medicaid managed care program, created by Senate Bill 7 of the 83rd Texas Legislature, is legislatively mandated to provide services for children and youth with disabilities who have Medicaid coverage. The goal of the STAR Kids program is to improve:

  • Coordination and customization of care
  • Access to care
  • Health outcomes
  • Cost containment
  • Quality of care

Beginning September 1, 2016, children and youth age 20 or younger who either receive Supplemental Security Income (SSI) Medicaid, or are enrolled in the Medically Dependent Children Program (MDCP) will receive all of their services through a STAR Kids health plan. Children and youth who receive services through other 1915(c) waiver programs will receive their basic health services (acute care) through STAR Kids.

A core component of the STAR Kids program will be a standard screening and assessment process used by health plans to determine each child's needs as they relate to health and independent living.

STAR Kids Screening and Assessment Instrument

HSSC and Texas A&M University (TAMU) are collaborating to create the SK­SAI (STAR Kids Screening and Assessment Instrument) to help identify the potential need for Personal Care Services (PCS), nursing services, and to determine eligibility for the Medically Dependent Children Program (MDCP).

In addition, the SK­SAI will help identify potential need for:

  • Behavioral health
  • Physical therapy
  • Occupational therapy
  • Speech therapy services
  • Durable medical equipment

The goal of the SK­SAI is to provide a standardized care needs assessment process that is comprehensive, holistic, consumer­driven, evidence­based, and takes into consideration social and medical issues, for purpose of prioritizing the child or youth’s needs that threaten independent living.