STAR Kids
Medicaid
At UnitedHealthcare Community Plan, we understand that the health care system can be complex and confusing. We know it can be especially stressful when your health care plan changes. UnitedHealthcare Community Plan will be with you every step of the way.
We want to make sure our members have access to the quality care they need and deserve. Our large network includes the doctors you already know and trust. That’s what you can count on with UnitedHealthcare Community Plan. View the list below to see what STAR Kids includes.
Language and Interpreter Services
UnitedHealthcare Community Plan has staff that speaks English and Spanish. If you speak another language or are hearing impaired and need help, call Member Services at 1-877-597-7799 or TTY 711 for hearing impaired.
If you need materials in audio, Braille, larger print and in other languages at your request. Please call 1-877-597-7799 for help.
This plan is available in the following counties:
Anderson, Angelina, Austin, Bell, Blanco, Bosque, Bowie, Brazoria, Brazos, Burleson, Cameron, Camp, Cass, Chambers, Cherokee, Colorado, Comanche, Cooke, Coryell, DeWitt, Delta, Duval, Erath, Falls, Fannin, Fort Bend, Franklin, Freestone, Galveston, Gillespie, Gonzales, Grayson, Gregg, Grimes, Hamilton, Hardin, Harris, Harrison, Henderson, Hidalgo, Hill, Hopkins, Houston, Jackson, Jasper, Jefferson, Jim Hogg, Lamar, Lampasas, Lavaca, Leon, Liberty, Limestone, Llano, Madison, Marion, Matagorda, Maverick, McLennan, McMullen, Milam, Mills, Montague, Montgomery, Morris, Nacogdoches, Newton, Orange, Panola, Polk, Rains, Red River, Robertson, Rusk, Sabine, San Augustine, San Jacinto, San Saba, Shelby, Smith, Somervell, Starr, Titus, Trinity, Tyler, Upshur, Van Zandt, Walker, Waller, Washington, Webb, Wharton, Willacy, Wood, and Zapata.
- STAR Kids
Find providers and coverage for this plan.
Search for health care providers near you, including doctors, hospitals and specialists.
Search for mental health providers near you; for example, psychiatrists, therapists and counselors.
Find a dentist near you.
Find medications covered by this plan.
Search for a pharmacy near you.
Need help finding a provider or setting up a visit?
Call Member Services at 1-877-597-7799, TTY 7-1-1, Monday-Friday 8 a.m.-5 p.m. or email memberservices_uhccp@uhc.com to get help finding a provider or setting up a visit.
Benefits & features
Get the assistance you need to stay healthy — or to get better if you are injured or sick. And pregnant moms get extra support to keep you and your baby healthy. That includes:
• Hospital Care. You pay nothing for care in a hospital.
• Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
• Transportation.We pay for rides to and from medical visits or pharmacy.
• Well Visits. Annual checkups can help keep you healthy.
If your child has asthma, diabetes or another long-term condition, you can depend on us. The STAR Kids Plan makes sure your child gets the care and services he or she needs. Benefits include:
• Case Management. Personal support from an experienced professional.
• Asthma Support. Individual care to help control asthma or COPD.
• Mental Health. Counseling and other treatments are available.
Help protect your child’s sight, hearing and smile with these benefits:
• Vision. Includes exams and Medicaid covered eyeglasses or contact lenses.
• Hearing. Hearing tests, fittings and dispensing of over the ear hearing aids.
• Dental. Most children and young adults age 20 and younger with Medicaid or CHIP coverage get dental services through a managed care dental plan. The dental plans listed below provide services across the state for all Medicaid members who qualify for dental coverage.
• DentaQuest
• UnitedHealthcare Dental
• MCNA Dental
Find Children's Medicaid dental plans
Get the medical equipment, assistance and supplies you need to live safely at home. Benefits include:
• Personal Care. Someone to help with dressing, bathing and dining.
• Equipment and Supplies. In-home medical and safety equipment are covered.
• Respite Care. In-home help to give your caregiver a rest.
Sometimes you might need a little extra help using your child's health plan. For those times, you can rely on:
• Transportation. We offer rides to and from medical visits or the pharmacy.
• Interpreters. An interpreter can go with you to medical visits.
• Language Help. Translated medical materials are available at no cost.
• Member Services. Your benefit questions are answered 24/7.
Value-added services
Read about all the extras your child could get as a STAR Kids member:
• Fitness Reward. $20 rewards card that can be used on fitness items.
• Online Mental Health Resources. Access articles, videos, and other resources at LiveandWorkWell.com
• Transportation. Receive up to 4 round trip rides for services that impact health but are not covered by Medicaid, like rides to grocery stores, housing and utility offices.
• Sports Physicals. A sports or school physical exam at no cost.
Learn more about Value-added Services, including terms and limitations English | Español
Waiver programs
If your child has a disability or long‑term illness, they may need more help with health care. Medicaid waiver programs can give extra help along with STAR Kids.
Available waiver programs include:
• MDCP – Medically Dependent Children’s Program
• CLASS – Community Living Assistance and Support Services
• HCS – Home and Community-based Services
• TxHmL – Texas Home Living
• DBMD – Deaf Blind with Multiple Disabilities
• YES – Youth Empowerment Services
After approval, your child will receive MDCP services from UnitedHealthcare. If your child is approved for another waiver program, UnitedHealthcare will coordinate those services.
Learn more about Texas Medicaid Waiver Programs for Children with Disabilities.
Choice of doctor
Your child gets a primary care physician (PCP) who is his or her main doctor. Use the Doctor Lookup tool to see if your child's doctor is in our network.
If your child doesn't have a doctor or if their doctor is not in our network, we can help you find a new one close to you.
Your PCP is your main doctor for:
• Preventive care.
• Treatment if your child is sick or injured.
• Referrals to specialists for certain conditions.
Equipment and supplies
Our plan covers medical equipment ordered by your doctor or case manager. This includes:
• Hospital bed.
• Oxygen tank.
• Walker or wheelchair.
Hospitalization
This plan pays for all expenses related to a hospital stay, so your child can rest and heal.
This includes:
• Nursing care.
• Room and board.
• Supplies and equipment.
• Treatment and therapies.
• Diagnostic tests and exams.
After your child leaves the hospital, you are not alone. We make sure your child gets follow-up care to continue healing at home.
Interpreters
Your child's doctor and you need to understand each other. Not speaking English well makes this difficult. We can arrange for a medical interpreter to be at your child's appointment.
We have people at our phone centers that speak more than one language. A service lets us connects with others that speak hundreds of languages.
Language help
You can ask to receive information in another language. Then anything we write to you will only be in that language. This is provided at no cost to you.
Medicines
We make getting your child's medicine easy.
There are no copays for covered drugs. You can fill your child's prescriptions at:
• Local pharmacies.
• Services that deliver routinely right to your door.
We also cover over-the-counter medicines with a written order from your child's doctor.
Member services
Sometimes you might need a little help understanding your child's health care options. With us, you have someone you can call 24/7. We'll answer your questions simply and completely.
We can also help you find:
• Home care providers.
• Dentists and vision providers.
Mental health
Mental health is as important as physical health. That's why we have the same coverage for both.
Required care is 100% covered with no copay. This includes:
• Behavioral therapy.
• Medications.
You pay nothing for covered services.
No copays
While your health care is low-cost or free, the care quality is high. You get:
• Care from highly skilled and compassionate doctors.
• Treatments at respected hospitals and clinics.
• Home medical equipment and supplies to help your child be at his or her best.
Nurse hotline
Medical questions and situations come at inconvenient times. When you have questions about your health or your child's health, you can call a trained nurse 24 hours a day, 7 days a week.
Our Nurse Hotline nurses will:
• Listen to the symptoms.
• Guide you on self-care.
• Advise you about getting care at a doctor visit or an urgent care center.
• Suggest you go right to the emergency department.
Personal visits
If needed, we provide someone to help with:
• Dressing.
• Bathing.
• Feeding.
Respite care
We provide respite care to give caregivers a rest. Respite care offers caregivers time away from their loved one who has special care needs to run errands or just relax.
Service coordinator
Every STAR Kids member gets a service coordinator. Your child’s service coordinator will visit with your family in person to go over your child’s health care needs. At these visits you will talk about the services your child is getting and other services your child may need.
Together you will create a care plan that works best for your family. Your care plan may include:
• Acute medical services.
• Behavioral health services.
• Primary care services.
• Special care services.
• Value-added services.
Your service coordinator can also help you.
• Arrange care with your primary care provider and with specialists.
• Connect your family with community programs and additional services.
• Answer questions about benefits.
• Help coordinate benefits with other providers.
Transition specialist
What is a Transition Specialist? What will a Transition Specialist do for me?
For children with special health care needs, the transition to adulthood often brings many changes. A Transition Specialist can help you understand and plan for these changes. All STAR Kids members have access to a Transition Specialist.
How can I talk to a Transition Specialist?
If you want to speak with a Transition Specialist or have a Transition Specialist as part of your Care Team, let your Service Coordinator know and he or she can help you.
Transportation
Whether you live in the city or in the country, rides are available. We provide round trips to and from doctors' offices and any other place that provides covered health care services. This includes trips to and from the pharmacy to fill your prescriptions.
Vaccines and immunizations
Routine immunizations to help keep your child healthy.
Learn more
STAR Kids