STAR+PLUS
Welcome to the STAR+PLUS provider page! Enjoy easy access to key resources for STAR+PLUS providers.
STAR+PLUS Resources
The STAR+PLUS program provides an integrated approach to healthcare delivery that addresses those services members may require in the acute, behavioral, functional, social and environmental areas.
The program administers acute and long-term services and supports (LTSS) to the eligible populations through a managed-care system. Service coordination is a major feature of STAR+PLUS and involves specialized, person-centered thinking for members.
Service coordinators provide assistance to members, family members, member representatives and providers to develop a detailed service plan and provide services according to the member’s needs:
- Acute care
- Behavioral health
- Environmental care
- Functional care
- Home-and community-based care
STAR+PLUS Links
Documents
STAR+PLUS Training
- Attendant Care Enhancement Payment Program open enrollment
- Employment Assistance and Supported Employment
- Mental Health Rehabilitation and Targeted Case Management
- Community first choice training
- Long-Term Services and Supports Orientation
- Long-Term Care Provider Webinar Training Schedule
- Long-Term Services And Supports Demographic Information Form
Nursing Facility Resources
Nursing Facilities are required to notify Amerigroup within one business day of:
- New admission for an existing member.
- Discharge of a member due to:
- Emergency care.
- Hospitalization.
- Death.
- Extended leave from the facility.
- Significant change in condition.
Documents
Nursing Facility Updates
Nursing Facility Reports
Nursing Facility Forms
- Nursing Facility Demographic Information Form
- Nursing Facility Therapy Preauthorization Request Form
- Nursing Facility DME Preauthorization Request Form
- Non-emergency Ambulance Exception Form
- Non-emergency Ambulance Prior Authorization Request Form
- Texas Standard Prior Authorization Request Form
- Nursing Facility Notification Fax Form
- Skilled Nursing Facility Participation Criteria and Capability Survey
- Change of Ownership Checklist for Nursing Facility providers
Nursing Facility Training
Contact
Medicare-Medicaid Plan Program
Amerigroup STAR+PLUS MMP is a Texas plan contracted with CMS and Texas Health and Human Services Commission (HHSC).
Amerigroup STAR+PLUS MMP integrates care and reimbursement for Texas members who have Medicare Part A, Medicare Part B, Medicare Part D and Medicaid benefits (dual-eligible members) and consolidates their care through one Medicare-Medicaid Plan for full access to both their Medicaid and Medicare benefits.
By consolidating the responsibility for all the covered services into a single plan, we see improved quality of care for the members; maximize the member’s ability to remain safely in their homes and communities; and improve continuity of care across acute care, long-term care, behavioral health and home- and community-based services using a patient-centered approach.
Amerigroup STAR+PLUS MMP offers this plan for dual-eligible members who reside in one of four counties: Bexar, El Paso, Harris and Tarrant.
Documents
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub Now
- Learn about Availity
- Precertification Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Member Eligibility & Pharmacy Overview
- Provider Manuals and Guides
- Referrals
- Forms
- Training Academy
- Pharmacy Information
- Electronic Data Interchange (EDI)