1. (a) Enrollment in the State of Texas Access Reform (STAR) program is mandatory for Medicaid recipients who meet the criteria in one or more of the following categories:

   1. (1) Temporary Assistance for Needy Families (TANF) adults--Individuals age 21 and over who are eligible for the TANF program. This category may also include some pregnant women.
   2. (2) TANF children--Individuals birth through age 20 who are eligible for the TANF program. This category may also include some pregnant women and some children less than one year of age.
   3. (3) Pregnant women receiving Medical Assistance only (MAO)--Pregnant women whose family income is below 185% of the FPL.
   4. (4) Pregnant women (MAO) under age 18 whose family income is below 185% of the FPL.
   5. (5) Newborns (MAO)--Children under age one born to Medicaid-eligible mothers.

   6. (6) Expansion children (MAO), which covers:

      1. (A) children under age 18 who are ineligible for TANF because of the applied income of their stepparents or grandparents;
      2. (B) children under age 1 whose family income is below 185% of the FPL; and
      3. (C) children age 1 through age 5 whose family income is at or below 133% of the FPL.
   7. (7) Federal mandate children (MAO)--Children age 6 through age 18 whose family income is below 100% of the FPL.
   8. (8) Supplemental Security Income (SSI) Medicaid-eligible adults who are not enrolled in Medicare and reside in all areas where STAR+PLUS is not an option.
2. (b) Enrollment in the STAR program is voluntary for SSI Medicaid-eligible children who are not enrolled in Medicare and reside in a service area where STAR+PLUS is not available.

Source Note:The provisions of this §353.802 adopted to be effective March 1, 2012, 37 TexReg 1283.