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Summary: Texas Provider Identifiers (TPIs) are required in order to be paid for any Medicaid service except as noted below and TPIs may be retro-enrolled.
There are five Medicaid programs in Texas: State of Texas Access Reform (STAR), STAR Kids, STAR+PLUS, STAR Health, and traditional Medicaid. The type of Medicaid coverage a person is eligible for depends on where the person lives and their personal health issues.
Childrens Medicaid is a health care program for children in low-income families. CHIP is a health care program for children without health insurance whose families earn too much to get Medicaid but cannot afford health insurance.
Since 2015, Superior HealthPlan has been one of the top-rated Medicaid plans in Texas, earning a rating of 3.5 or higher on a 5.0 scale on the National Committee for Quality Assurance (NCQA) Medicaid Health Insurance Plan Ratings.
The Texas Medicaid Healthcare Partnership (TMHP) is a group of contractors under the leadership of Accenture. Accenture administers Texas Medicaid and other state health care programs on behalf of the Texas Health and Human Services Commission.
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In Texas, there are 5 different types of Medicaid: Traditional Medicaid. STAR. STAR Kids. STAR Health. STAR+PLUS.
Medicaid and the Childrens Health Insurance Program (CHIP) provide medical coverage for more than 4 million low-income Texans. The programs cover half of all children in the state and help provide care for two-thirds of people in nursing homes.
Most people who have Medicaid in Texas get their coverage through the STAR managed care program. STAR covers low-income children, pregnant women and families. STAR members get their services through health plans they choose.

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