Driscoll Children's Health Plan

DRISCOLL HEALTH PLAN, INC. (DHP) IS CONTRACTED FOR THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) IN A FOURTEEN COUNTY AREA COMPRISED OF ARANSAS, BEE, BROOKS, CALHOUN, DUVAL, GOLIAD, JIM WELLS, KARNES, KENEDY, KLEBERG, LIVE OAK, NUECES, REFUGIO, SAN PATRICIO AND VICTORIA COUNTIES. DHP ALSO IS CONTRACTED FOR STAR (MEDICAID MANAGED CARE) BEGINNING SEPTEMBER 1, 2006 FOR A NINE COUNTY AREA, WHICH ARE ARANSAS, BEE, CALHOUN, JIM WELLS, KLEBERG, NUECES, REFUGIO, SAN PATRICIO AND VICTORIA. BEGINNING SEPTEMBER 1, 2011, STAR EXPANDED TO INCLUDE FIVE ADDITIONAL RURAL CONTIGUOUS COUNTIES SO THAT BOTH CHIP AND STAR MEDICAID WOULD ENCOMPASS THE SAME FOURTEEN (14) COUNTIES CALLED THE NUECES SERVICE DELIVERY AREA (SDA). ADDITIONALLY, DHP CONTRACTED FOR STAR IN THE HIDALGO SDA (MEDICAID MANAGED CARE) EFFECTIVE MARCH 1, 2012, IN A TEN COUNTY AREA COMPRISED OF CAMERON, DUVAL, HIDALGO, JIM HOGG, MAVERICK, MCMULLEN, STARR, WEBB, WILLACY AND ZAPATA. ON MARCH 1, 2012, DHP ALSO STARTED MANAGING ALL PHARMACEUTICALS ADMINISTERED TO ITS MEMBERS AS THIS BENEFIT WAS CARVED INTO THE SERVICES PROVIDED TO ITS MEMBERS IN THE NEW TEXAS STATEWIDE MANAGED CARE CONTRACTS. IN FACILITATING THE ADMINISTRATION OF PHARMACEUTICALS, DHP CONTRACTED WITH AN EXPERIENCED PHARMACY BENEFIT MANAGER (PBM) OFFERING A ROBUST PHARMACY NETWORK TO ENSURE THE SERVICES WERE ADMINISTERED IN A COMPLIANT, EFFECTIVE AND EFFICIENT MANNER. EFFECTIVE NOVEMBER 1, 2016, DHP CONTRACTED FOR STAR KIDS IN BOTH THE NUECES AND HIDALGO SDA FOR BOTH THE MEDICAL SERVICES AND PHARMACEUTICALS ADMINISTERED TO CHILDREN ENROLLED IN STAR KIDS WHICH IS A TEXAS MEDICAID MANAGED CARE PROGRAM THAT PROVIDES MEDICAID BENEFITS TO CHILDREN AND ADULTS 20 AND YOUNGER WHO HAVE DISABILITIES. DHP IS A HEALTH MAINTENANCE ORGANIZATION (HMO) COMMITTED TO PROVIDING HIGH QUALITY ACCESSIBLE HEALTH CARE TO THE MEDICAID AND CHIP POPULATIONS OF SOUTH TEXAS. ITS AFFILIATION WITH DRISCOLL CHILDREN'S HOSPITAL (DCH), A REGIONAL TERTIARY CARE REFERRAL CENTER FOR ALL SOUTH TEXAS, LENDS TO ITS SUCCESS BY OFFERING ITS MEMBERS DRISCOLL'S DISTINGUISHED, EXTENSIVE NETWORK OF PROVIDERS AND SERVICES. DHP HAS ALSO EXPANDED ITS NETWORK TO INCLUDE PHYSICIANS, HOSPITALS AND SERVICES IN ITS TOTAL EXPANDED SERVICE DELIVERY AREAS, THUS OFFERING DHP MEMBERS A FULL CONTINUUM OF HIGH QUALITY HEALTH CARE SERVICES TAILORED TO MEET THE NEEDS OF THE POPULATION.