Speech Therapy With Texas Medicaid and CHIP
Oasis Speech is enrolled with Texas Medicaid and in network with two Medicaid health plans. Most Texas children with Medicaid or CHIP are in a health plan, and which plans serve you depends on your county. This page shows where we can see your child using Medicaid or CHIP.Step 1: Find Your Health Plan Name
Look at your child's member ID card. The health plan's name is printed on the front. You can also find it in the Your Texas Benefits app.
Step 2: Match Your Plan and Area
| Your area | Plan we're in network with | Programs |
|---|---|---|
| Houston area: Harris, Fort Bend, Brazoria, Montgomery, Galveston, Waller, Austin, Matagorda and Wharton counties | UnitedHealthcare Community Plan | STAR, STAR Kids, CHIP, STAR+PLUS |
| Rio Grande Valley: Hidalgo, Cameron, Starr, Willacy, Webb, Zapata, Jim Hogg, Duval, Maverick and McMullen counties | UnitedHealthcare Community Plan | STAR, STAR Kids, STAR+PLUS |
| Austin area: Travis, Williamson, Hays, Bastrop, Burnet, Caldwell, Fayette and Lee counties | BCBS of Texas Medicaid | STAR, STAR Kids, CHIP |
| Austin area (same counties) | UnitedHealthcare Community Plan | STAR+PLUS |
| Dallas area: Collin, Dallas, Ellis, Hunt, Kaufman, Navarro and Rockwall counties | UnitedHealthcare Community Plan | STAR+PLUS only |
| Fort Worth area: Tarrant, Denton, Hood, Johnson, Parker and Wise counties | UnitedHealthcare Community Plan | STAR+PLUS only |
| Beaumont area: Jefferson, Orange, Hardin, Liberty, Chambers and nearby counties | UnitedHealthcare Community Plan | STAR, STAR Kids, CHIP |
| Corpus Christi area: Nueces, San Patricio, Kleberg, Victoria and nearby counties | UnitedHealthcare Community Plan | STAR, CHIP |
| Rural Central Texas, including Bell, McLennan and Brazos counties | BCBS of Texas Medicaid and UnitedHealthcare Community Plan | STAR Kids |
| Rural Northeast Texas, including Smith, Gregg and Bowie counties | UnitedHealthcare Community Plan | STAR Kids, STAR+PLUS |
If your county or plan isn't in the table, we can't bill your plan right now. If your child has traditional Texas Medicaid rather than a health plan, call us and we'll check.
What Each Program Is
STAR: Medicaid for most children, pregnant women and families
STAR Kids: Medicaid for children and young adults 20 and younger who have disabilities
CHIP: coverage for children in families that earn too much for Medicaid but can't afford private insurance. CHIP may have small copays.
STAR+PLUS: Medicaid for adults with disabilities and adults 65 and older
Step 3: Get a Doctor's Order
Texas Medicaid requires an order from your child's doctor for speech therapy. The evaluation needs a signed order, and ongoing therapy needs prior authorization from your plan. Here's how it works with us:
Ask your child's doctor for a speech therapy evaluation and treatment order, or give us the doctor's name and fax number and we'll request it.
Sherry evaluates by video.
We send the prior authorization request to your plan with the doctor's signed form.
Once it's approved, weekly sessions begin. Authorizations are renewed with progress reports, and we handle that too.
Telehealth Speech Therapy Is Covered
Texas Medicaid covers speech evaluations and therapy by live video. Phone-only sessions aren't covered, so you'll need a phone, tablet or computer with a working camera and a steady internet connection.
Texas Medicaid and CHIP Speech Therapy FAQ
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Call the member services number on the back of your card. Your plan can point you to speech therapists in its network, including ones who offer telehealth.
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Medicaid (STAR and STAR Kids) has no copay for covered speech therapy. CHIP may have small copays depending on family income.
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Adults with STAR+PLUS through UnitedHealthcare Community Plan can get speech therapy when it's medically necessary, for example after a stroke. We verify benefits before the first visit.
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It depends on the plan. We submit it right after the evaluation and keep you updated.
Not Sure About Your Plan? We'll Check.
It takes about two minutes. We check your benefits first, then call you to set up the evaluation. Prefer to talk? Call (863) 663-2944.