Service Coordination for STAR Kids Members
Community First STAR Kids Members can get additional support through service coordination services. Community First Service Coordinators are available to help you coordinate your medical and mental health care.
What is Service Coordination?
Service Coordination allows Community First to work together with you and your care team in order to best identify and address your needs. We will gather information and build an individual service plan (ISP) to address those needs, just for you. Service Coordination includes:
- Assistance to ensure timely and a coordinated access to providers and services;
- Attention to addressing unique needs of Members; and
- Coordination of Medicaid benefits with non-Medicaid services and supports, as necessary and appropriate.
What can a Community First Service Coordinator do for me/my child?
Community First Service Coordinators are trained to meet the needs of those who need help the most, including people who have chronic (long-lasting) or complex conditions. A Service Coordinator will work alongside your primary care provider and specialty care providers to make sure you get all your covered services. In some cases, services that are usually not covered may also be covered.
Our Service Coordinators are:
- Registered Nurses, Licensed Vocational Nurses, and Licensed Social Workers
- Supported by Mental Health, Transition, Appeals, and Pharmacy Specialists
- Assigned individually or as a coordination team, based on Member needs
Some services may include:
- Utilization Management
- Coordination of Services
- Mental Health Assistance
- Substance Use Treatment
- Texas Heath Steps Scheduling
Our Service Coordinators can also:
- Assess your needs by completing a Screening and Assessment Instrument (SAI) annually
- Develop an Individualized Service Plan (ISP) with short and long-term goals
- Address medical and behavioral needs
- Respect Member preferences
- Help you find extended service networks when needed
- Provide Consumer Directed Service (CDS) information and education
- Assist with transition planning to STAR+PLUS
- Educate Members on their benefits and responsibilities
Service Coordinators also provide Members access to:
- Mental health resources
- Intellectual and Developmental Disability (IDD) resources
- Specialists that can treat medically complex conditions
- Substance use treatment
- Community resources
- Pediatric specialists
- Long Term Services and Supports (LTSS)
- End of life/advanced illness planning and care
- Palliative care
- Acute care
- Preventive care
- Cultural competency educational materials
- Pharmacy and prescription assistance and education
- Nutritional assistance
- Person-centered planning
- Peer and family support
- Assistive technology
- Supported employment
- Permanency planning
- School transitions
When should I contact my Community First Service Coordinator?
Your assigned Service Coordinator is here to help!
Please notify your Service Coordinator if you/your child has an emergency and is admitted to the hospital so they can assist in follow up care.
How can I talk with a Community First Service Coordinator?
Your Service Coordinator will provide you with a number to call them directly.
If you have not been assigned a Service Coordinator or would like more information about Service Coordination, please call:
1-855-607-7827 Monday – Friday, 8:00 a.m. to 5:00 p.m.
This call is free. We have free interpreter services for people who do not speak English.
TTY 711, 24 hours a day, 7 days a week.
This call is free. This number requires special telephone equipment and is only for people who have difficulties with hearing or speaking.