[dbmat] Re: Fwd: Policy Changes Regarding Texas Health Insurance Premium Payment (HIPP) Program

  • From: Jillana Holt-Reuter <jillanaoftx@xxxxxxxxx>
  • To: dbmat@xxxxxxxxxxxxx
  • Date: Tue, 22 Jul 2014 19:38:19 -0500

I will be attending this meeting.
On Jul 22, 2014 4:21 PM, "Pwelch" <pwelch@xxxxxxxxxxxxx> wrote:

>
>
> Sent from my iPad
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> Begin forwarded message:
>
> *From:* "Schwartz,Jonas (HHSC)" <Jonas.Schwartz@xxxxxxxxxxxxxxxx>
> *Date:* July 22, 2014 at 2:55:41 PM CDT
> *To:* "Paul Welch (pwelch@xxxxxxxxxxxxx)" <pwelch@xxxxxxxxxxxxx>
> *Subject:* *Policy Changes Regarding Texas Health Insurance Premium
> Payment (HIPP) Program*
>
>  Dear Community Partner:
>
>
>
> The Health and Human Services Commission (HHSC) currently is working to
> implement policy changes concerning the Texas Health Insurance Premium
> Payment (HIPP) program.  In order to ensure access to long-term services
> and supports, individuals enrolled in or eligible for the STAR+PLUS program
> may receive coverage through Medicaid and HIPP. Please see further details
> below.
>
>
>
>
>
> Jonas E. Schwartz M.S.
>
> Manager for Stakeholder Relations
>
> Office of Policy
>
> Medicaid/CHIP Division
>
> Health and Human Services Commission
>
> (512) 462-6292-Voice
>
> (512) 632-2608-Mobile
>
>
>
>
>
>
>
>
> *Health Insurance Premium Assistance Program*
>
> The Health Insurance Premium Payment (HIPP) program is a Medicaid program
> that reimburses eligible individuals for their share of an
> employer-sponsored health insurance premium payment.
>
>
>
> To qualify for HIPP, an employee must either be Medicaid eligible or have
> a family member who is Medicaid eligible.  A client who is in Medicaid
> managed care can be considered for enrollment in HIPP. However, if they
> qualify for HIPP enrollment they cannot stay enrolled in Medicaid managed
> care, with the exception of STAR+PLUS clients.
>
>
>
> *STAR+PLUS and HIPP*
>
> To ensure access to long-term services and supports, individuals enrolled
> in, or eligible for, the STAR+PLUS program may receive coverage through
> Medicaid and HIPP.   Although clients will need to select a
> Medicaid-enrolled primary care provider (PCP) under STAR+PLUS, clients can
> continue to see the PCP and specialists they currently see through their
> employer-sponsored insurance.  (Designation of a STAR+PLUS PCP will not
> impact designation of PCPs under employer-sponsored insurance).  The client
> is responsible for all associated cost sharing related to their
> employer-sponsored insurance: (1) for non-Medicaid covered benefits, or (2)
> if the PCP and specialists they see are not Medicaid-enrolled providers.
>
>
>
> *STAR and HIPP *
>
> Clients enrolled in STAR may apply for HIPP, and if found eligible for
> HIPP, the client will be disenrolled from STAR.
>
>
>
> *HIPP Coverage*
>
> The HIPP program may pay for clients and their family members to get
> employer-sponsored health insurance benefits if it is determined to be cost
> effective.
>
>
>
> Medicaid-eligible HIPP enrollees do not have to pay out-of-pocket
> deductibles, co-payments, or co-insurance for health care services that
> Medicaid covers when seeing a provider that accepts Medicaid. Instead,
> Medicaid reimburses providers for these expenses. HIPP enrollees who are
> not Medicaid-eligible must pay deductibles, co-payments, and co-insurance
> required under the employer-sponsored insurance policy. Additionally, if a
> Medicaid-eligible HIPP enrollee needs a Medicaid-covered service that is
> not covered by their employer-sponsored insurance plan, Medicaid will
> provide this service at no cost to the enrollee as long as the services are
> provided by an enrolled Medicaid provider.
>
>
>
> Additional information about the HIPP program is available at
> www.getHIPPTexas.com.  Questions and concerns with HIPP enrollment should
> be directed to the HIPP helpline (1-800-440-0493).
>
>
>
>
>

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