Texas Children's Health Plan

TEXAS CHILDREN'S HEALTH PLAN ("TCHP") PROVIDES 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 3,791 PRIMARY CARE PROVIDERS, 23,267 SPECIALISTS, AND 421 HOSPITALS TO COVER KIDS, TEENS, PREGNANT WOMEN AND ADULTS. AS OF DECEMBER 31, 2024, TCHP HAD 445,448 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, 2024, TCHP had 389,088 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, 2024, TCHP had 25,976 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, 2024, TCHP had 30,384 CHIP members.