Who's out
Waiver conditions exclude an individual from STAR PLUS?
What is IDD dual eligibles
Population Criteria that participates in Star Kids
What is those who have approved MN (approved nursing need), ME SSI and SSI related,
IDD waivers
CLASS, DBMD, HSC Texas Home Living, Non State, ICF MF
MDCP
What is 604
Points that determine the SPW and MDCP start of care date (SOC)
What are 1) Date Medicaid was certified, 2) Date MN was approved and 3) Date the ISP was posted in TxMed for SP and placed in processed/complete in the LTC portal for Star Kids
Type of eligibility that cannot participate in Star Pus
What is QMB, SLMB and Community Attendant Services
Child under 21 who has Medicare
What is a Star Kids eligible child
STAR Kids Child with MA Medicaid has (fill in the blank)
What is a waiver or Medicare
Bonus!
Freebie but no points!
Does not go onto an interest list for Star Plus
STAR enrollment provides
What is acute care
Waivers that can participate in STAR Plus
What is HCBS SPW, non dual IDD, nursing facility
Points where ineligibility for Star Plus enrollment begins for an intellectual or developmentally disabled individual
What is when Medicare Part B, IDD waiver participation and managed care meet
Nursing facility that cannot participate in Star Plus or Star Kids
Truman Smith and VA
Dental coverage is available...
What is statewide
Youth Empowerment Services. No?
What is YES
Overlapping IDD and SPW
What is risk group 901 (how do we handle these)
Bonus!
FREE ZONK!!!!!! You still get 500 points!
Is on a STAR Kids interest list for MDCP
What is all individuals interested in participating in MDCP
IDD waivers not found in SAS
Texas Home Living and HCS
Enrolled in Star Kids. Child eligible for MA 1-5 with no waiver or Medicare
No risk group
Points that make up a risk group
Medicare, waiver participation/living arrangement and managed care model.