program-models

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Program/Project Name STAR Health
Affiliation Name Superior HealthPlan
Website URL http://www.fostercaretx.com/
Model Type Managed Care Specialty Program
City Houston
State TX
State specific location Service Management is located in multiple offices accross the state.
How is program/project funded? State Funding
Describe how it's funded

Our program is funded through Medicaid dollars consisting of state funds with a federal match.

What services does it provide Entry to care health assessment, Comprehensive health assessment, Standardize screening (developmental, mental health), In-clinic mental health evaluation, Subspecialty referrals, Ongoing primary care/medical home, Complex Case Management, Service Management, and Service Cooridination including an online EHR
Where does it provide services State-Wide
Description of program/project

STAR Health is a specialized Medicaid Managed Care program for all children in foster care in the State of Texas.  It is managed by Superior HealthPlan, a Centene Company.  It includes initial telephonic health screenings, complex case management, service management (behavioral and physical that are integrated), and service coordination services (behavioral and physical that are integrated) including a web-based EHR.  It is a comphrehensive program that provides for medical, behavioral, vision, dental, and pharmacy services.  Other services include disease management, 24 hour nurse triage line, and a psychotropic medication review process.

 

How are patients tracked? Specialized database for your program, Proprietary EHR
Provide special focus Fetal Alcohol Spectrum Disorders, Teen pregnancy prevention, Substance use and abuse, Developmental delay/issues, Mental health, Developmental Issues, Children in family foster care, Youth in group home/residential care, Young Children, Adolescents
Program/Project strengths

This program has resulted in more children receiving the right services, at the right time, and in the right location.  It has also resulted in more appropriate prescribing of psychotropic medications and increased availability of evidence based services such as trauma focused CBT.  The other strength is the establishment of regular face to face communication between Medicaid, child welfare, advocates, and judges. 

Program/Project challenges

The biggest challenge has been and continues to be establishing the roles of all involved in the child welfare process when it comes to the well being of children in the system.

Contact Name David Harmon
Email Address dharmon@centene.com
Phone Number 512-692-1465