[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 21:33:51 -0500

I will but if you need help with enrolling, just give me a call.  Maybe I
can help. ;)
On Jul 22, 2014 9:32 PM, "Denise Sewell" <justhemom@xxxxxxxxxxx> wrote:

> Hey Jillana, let me know what you find out! We got the letter today about
> STAR PLUS enrollment and I'm a little confused!     So any suggestions are
> greatly appreciated! Talk to you soon! Thanks, Denise .
>
> Sent from my iPhone
>
> On Jul 22, 2014, at 7:38 PM, "Jillana Holt-Reuter" <jillanaoftx@xxxxxxxxx>
> wrote:
>
> I will be attending this meeting.
> On Jul 22, 2014 4:21 PM, "Pwelch" <pwelch@xxxxxxxxxxxxx> wrote:
>
>>
>>
>> Sent from my iPad
>>
>> 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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