Volume XXX, Number 8
 August 2015

Dual Demonstration Provider Information

Below is information that you may find helpful if you are in one of the counties (Bexar, Dallas, El Paso, Harris, Hidalgo, and Tarrant) involved in the Dual Demonstration program:

Enrollment – Sample letters that are sent to all dual eligibles in the demonstration county can be found on the HHSC website

From the link you can find letters for people who received Medicare and Medicaid who can choose to enroll in a STAR+PLUS Medicare-Medicaid Plan

  • Introduction Letter
  • Enrollment Letter
  • Reminder Letter
  • Enrollment Confirmation Letter
  • Denial of Enrollment Letter
  • Cancellation of Enrollment Letter
  • Member Chooses Not to Join – Confirmation Letter
  • Member Chooses Not to Join – Re-enrollment Letter
  • Member Chooses Not to Join – Remains in STAR+PLUS Medicare-Medicaid Plan Letter

Address Where Enrollment Letters are Mailed: To change the address with Medicare, the recipient or representative can change the address online www.Yourtexasbenefits.com or call 211.

To opt out of the Dual Demonstration the recipient or their representative has to make a telephone call to either Medicare or Maximus. The telephone numbers are 1-800-Medicare or 877-782-6440 for Maximus

If your nursing facility is in one of the dual demonstration counties and you do not have an Executed Contract for the MMP program, contact:

Amerigroup – Kelley Longhofer klongho

Cigna Health Spring – Robyn Leland — robyn.leland

Molina – Bob Kalin — Robert.Kalin

Superior – Ceseley Rollins — crollins@centene.com
United – Lisa Wright Bonner — Lisa_R_Wright@UHC.com

Common Authorization Request Form – TDI has a form that the MCOs have to accept beginning September 1. Some are accepting the form now. CLICK HERE for the form. 

President’s Report


 Legislative Update


 Commitment to Care

If you have any questions about the THCA C to C Initiative or would like to share your facilities successes please contact me at gbwilliams@txhca.org or call (512) 458-1257.


State News

  • Dual Demonstration Provider Information


National News


Announcements & Recognitions

THCA’s 65th Annual
Convention and Trade Show

Attendee registration open, register now for early bird pricing

THCA 65-01


Official Convention Sponsor


AHCA/NCAL 66th Annual
Convention & Expo
October 4-7, 2015
San Antonio, Texas

Our Great State of Texas is the host state for the AHCA/NCAL Annual Convention & Expo, October 4-7, 2015! Experience the National Conference right here in our home state!

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Register now and take advantage of the Advance Registration Savings.


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THCAPAC Proudly Announces our 2015 Official THCAPAC at Convention Sponsor


?’s About THCAPAC…Here’s How To Contact Us
Ron Payne, THCAPAC Co-Chair
Mark McKenzie, THCAPAC Co-Chair
Gina Muniz, THCAPAC Liaison


Region News



THCA’s 65th Annual Convention and Trade Show

Attendee registration open, register now for early bird pricing



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twitter  Follow the THCA Twitter page