Medicaid Services Unit: NorthSTAR

NorthSTAR Program ended December 31, 2016.

If you are a former NorthSTAR member with questions or concerns about services that occurred prior to January 1, 2017,
please call:

  • NTBHA
    Phone: 214-366-9407 
    Toll Free: 877-653-6363

  • HHSC NorthSTAR Program
    Phone: 512-838-4319

If you are a former NorthSTAR member with questions or concerns about services occurring after January 1, 2017, please call:

  • For Medicaid Members: Please call the number on the back of your card.

  • For Non-Medicaid Members please call:
    NTBHA (for residents of Dallas, Ellis, Hunt, Kaufman, Navarro, or Rockwall Counties)
    Phone: 214-366-9407
    Toll Free: 877-653-6363
    Other resources can be found on the NTBHA website.
  • LifePath (for residents of Collin County)
    Phone: 972-372-0301
    Other resources can be found on the LifePath Systems website

  • For Medicaid and Non-Medicaid Members, please call HHSC - Mental Health Consumer Rights:
    To know your rights as an individual with a mental illness, to ask questions about HHSC or to file a complaint, you should speak to a Consumer Rights representative at one of the following telephone numbers: 
    • (800) 252.8154 - Texas Only, 8 - 5 p.m. M – F
    • (800) 735.2988 - Relay Texas, Voice
    • (800) 735.2989 - Relay Texas, TTY

Providers:

NorthSTAR Background

The NorthSTAR Program was a publicly funded managed care approach to the delivery of mental health and chemical dependency services to the eligible residents of Dallas, Ellis, Collin, Hunt, Navarro, Rockwall and Kaufman counties. It provided a comprehensive mental health/substance abuse benefit package for all eligible individuals, and access to benefits was determined by clinical need, not funding source.

Client services to both eligible Medicaid and medically indigent individuals were managed with the State by a behavioral health organization (BHO), ValueOptions. The HHSC contract with ValueOptions outlined the requirements for performance, and was rigorously managed. ValueOptions had to spend at least 88% of their State payments on direct services. ValueOptions' clinical care managers would individually review case presentations for clinical need, and make authorization decisions accordingly. ValueOptions also paid provider claims for service. An expanded provider network contracted with ValueOptions to provide authorized care. Providers competed with one another for market share, and in the past competitive environment, enrollees were free to choose any appropriate provider for their behavioral healthcare needs.

The North Texas Behavioral Health Authority (NTBHA) served as the local behavioral health (mental health and substance abuse) authority for the entire NorthSTAR service area, and functions included planning, oversight, single portal authority functions, as well as a local problem solving resource that included ombudsman services.

The Unique NorthSTAR Approach

  • Blended funding - State and local agencies contributed wrap-around funds for a person's treatment. No longer did a person have to mine the various agencies and departments to receive services.
  • Integrated services - Mental health and chemical dependency treatment were coordinated under behavioral health, allowing integrated treatment in a single system of care.
  • Care management - Individuals received the proper amount of cost-efficient care.
  • Data-based decision support - A modern data warehouse and decision support software was used to evaluate and manage the system of care.
  • Behavioral Health Organization - Services were provided via a fully capitated contract with a licensed behavioral health organization. 

Documents

File viewing informationInformación de visualización de archivos

NorthSTAR RFP

NorthSTAR Enrollee Handbook and Provider Directory

NorthSTAR Bulletins

 NorthSTAR Quality Monitoring Strategies

NorthSTAR Rates

2013-2015 NorthSTAR Waiver

Presentations 

Last updated January 9, 2017