Texas Childrens Health Plan Inc

TO CREATE A HEALTHIER FUTURE FOR CHILDREN AND WOMEN THROUGHOUT OUR GLOBAL COMMUNITY BY LEADING IN PATIENT CARE, EDUCATION, AND RESEARCH.

TEXAS CHILDREN'S HEALTH PLAN'S (TCHP) PROGRAM SERVICE OBJECTIVE IS TO PROVIDE HEALTH CARE COVERAGE TO UNDERSERVED CHILDREN AND WOMEN WHO, WITHOUT MEDICAID, STAR, STAR KIDS, OR CHIP, WOULD NOT HAVE ACCESS TO AFFORDABLE HEALTH INSURANCE. TCHP PARTICIPATES IN MEDICAID, WHICH TARGETS CHILDREN UNDER 185-100% OF THE FEDERAL POVERTY LEVEL AND THE CHILDREN'S HEALTH INSURANCE PROGRAM, WHICH TARGETS CHILDREN BETWEEN 200-100% OF THE POVERTY LEVEL. TCHP WAS FOUNDED IN 1995 BY TEXAS CHILDREN'S HOSPITAL. TCHP IS THE NATION'S FIRST HEALTH MAINTENANCE ORGANIZATION CREATED JUST FOR CHILDREN. TCHP HAS A NETWORK OF 3,315 PRIMARY CARE PROVIDERS, 17,295 SPECIALISTS, AND 334 HOSPITALS TO COVER KIDS, TEENS, PREGNANT WOMEN AND ADULTS. AS OF DECEMBER 31, 2022, TCHP HAD 607,774 MEMBERS. STAR: THE STATE OF TEXAS ACCESS REFORM (STAR) IS A MEDICAID PROGRAM OFFERED AT NO COST FOR CHILDREN UP TO AGE 21, SOME ADULTS AND PREGNANT WOMEN WHO CANNOT AFFORD HEALTH INSURANCE. AS OF DECEMBER 31, 2022, TCHP HAD 565,501 STAR MEMBERS. STAR KIDS: EFFECTIVE NOVEMBER 1, 2016, TCHP BEGAN OFFERING STAR KIDS, A NEW TEXAS MEDICAID MANAGED CARE PROGRAM THAT PROVIDES MEDICAID BENEFITS TO CHILDREN AND ADULTS 20 AND YOUNGER WHO HAVE DISABILITIES. STAR KIDS OFFERS REGULAR MEDICAID SERVICES ALONG WITH LONG-TERM SERVICES AND SUPPORTS (LTSS) WHICH INCLUDE THINGS LIKE HELP IN A HOME WITH BASIC DAILY ACTIVITIES AND HELP MAKING CHANGES TO A HOME SO THAT MEMBERS CAN MOVE AROUND SAFELY. AS OF DECEMBER 31, 2022, TCHP HAD 30,508 STAR KIDS MEMBERS. CHIP: THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) OFFERS LOW-COST HEALTH COVERAGE FOR CHILDREN FROM BIRTH THROUGH AGE 18. CHIP IS DESIGNED FOR FAMILIES WHO EARN TOO MUCH MONEY TO QUALIFY FOR MEDICAID BUT CANNOT AFFORD TO BUY PRIVATE HEALTH COVERAGE. AS OF DECEMBER 31, 2022, TCHP HAD 11,765 CHIP MEMBERS.