[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 22:06:36 -0500

Yes, it is and sure!  Hit me up!
On Jul 22, 2014 10:05 PM, "Denise Sewell" <justhemom@xxxxxxxxxxx> wrote:

> Sounds like a phone call!!! Maybe later this week? Thanks!
>
> Sent from my iPhone
>
> On Jul 22, 2014, at 9:42 PM, "Jillana Holt-Reuter" <jillanaoftx@xxxxxxxxx>
> wrote:
>
> You can be enrolled in Star plus and HIPP at the same time.  It has some
> caveats and I can tell you about it. Much easier to discuss it and I am
> hoping to have more documentation for everyone.
> On Jul 22, 2014 9:39 PM, "Denise Sewell" <justhemom@xxxxxxxxxxx> wrote:
>
>> Ok I will! So we basically have to enroll , right? He is on my insurance
>> and Medicaid now. He turns 18 on the 1st of August. And we are enrolled in
>> HIPP as well. So if we don't enroll with STAR PLUS then we can't be
>> enrolled with HIPP? Is that what I'm understanding?
>>
>> Sent from my iPhone
>>
>> On Jul 22, 2014, at 9:34 PM, "Jillana Holt-Reuter" <jillanaoftx@xxxxxxxxx>
>> wrote:
>>
>> 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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