Medicaid For Former Foster Youth and STAR and STAR Health Services

Effective January, 1 2014

The Patient Protection and Affordable Care Act (PPACA), commonly called the Affordable Care Act (ACA) was enacted into law on March 23, 2010.  The ACA requires states to provide Medicaid coverage to individuals under age 26 who were in foster care and receiving Medicaid when they aged out of foster care. 

Effective January 1, 2014, the Former Foster Care Children program will provide healthcare coverage through age 25 to young adults who age out of Texas foster care and who were receiving Medicaid when they aged out of care.  This population will receive services in two separate programs based on age:

  • Young adults aged 18 through 20 will be enrolled in STAR Health but can switch to STAR; and
  • Young adults aged 21 through 25 will receive Medicaid through the STAR plan of their choice through the month of their 26th birthday.  

Detailed information about healthcare coverage for STAR Health and STAR member programs are available at:

Former Foster Care Children Program Eligibility

To be eligible for this program, the young adult must:

  • Be age 18 through 25;
  • Have been in Texas foster care on his or her 18th birthday or older;
  • Be receiving Medicaid when he or she aged out of Texas foster care; and
  • Be a US citizen or have a qualified alien status, such as a green card.

There are no income, asset, or educational requirements to qualify for the Former Foster Care Children program.

Medicaid for Transitioning Foster Care Youth

Medicaid for Transitioning Foster Care Youth will continue to be available for former foster youth who are under the age of 21 and who are not eligible for the Former Foster Care Children program.  This is because they were not receiving Medicaid at the time they aged out of care.  Those on Medicaid for Transitioning Foster Care Youth will receive STAR Health.

To be eligible for the Medicaid for Transitioning Foster Care Youth program, the young adult must:

  • Be age 18 through 20;
  • Have been in Texas foster care on his or her 18th birthday or older;
  • Not have other health coverage;
  • Meet program rules for income; and
  • Be a US citizen or have a qualified alien status, such as a green card.

There is no asset test when determining eligibility for Medicaid for Transitioning Foster Care Youth.

Staff Responsibilities

CPS staff who work with youth and young adults inform and provide information about Medicaid coverage, but HHSC manages the ongoing eligibility for both programs.  

Address Changes

Young adults must report any address change within 10 days of knowing about the change.  To report changes, use the www.YourTexasBenefits.com website or call 2-1-1.

Questions about STAR Health and STAR Member Healthplans

For questions about STAR Health or STAR Member Healthplans follow one of these steps:

  • Call one of the helpful numbers on the health plan or 1-800-964-2777
  • Call 2-1-1; or
  • Use the www.YourTexasBenefits.com website

Well-being specialists are a STAR Health resource contact.

 Other Resources:

To Apply or Re-Apply for Medicaid for Transitioning Foster Care Youth and Former Foster Care Children Programs

Young adults may apply or re-apply for either Medicaid for Transitioning Foster Care Youth or Former Foster Care Children Programs by:

  • Faxing or mailing (information on application):
    • Form H1010-Texas Works Application for Assistance, or
    • Form H1205-Texas Streamlined Application;
  • www.YourTexasBenefits.com;
  • www.HealthCare.gov (Marketplace); or
  • Calling 2-1-1.

Note:  Form H1010 and Form H1205 can be printed from the www.YourTexasBenefits.com  website. 
On either the H1010 or the H1205, to be considered for Former Foster Care Children or Medicaid for Transitioning Foster Care Youth programs, the individual must mark either of the following questions as “Yes:”

  • Were you in foster care at age 18 or older?
  • Were you in an approved Unaccompanied Refugee Minor’s Resettlement program at age 18 or older?

If the applicant is not eligible for either program he or she will be evaluated for other Medicaid programs.

For more information related to DFPS Medical Services please visit the CPS Medical Services Website: http://www.dfps.state.tx.us/Child_Protection/Medical_Services/guide-star.asp#regional