1. (a) Enrollment in the Dual Demonstration is optional for dual eligible individuals who live in the designated counties and meet the following criteria:

   1. (1) eligible for STAR+PLUS, including those eligible for STAR+PLUS home and community-based waiver services;
   2. (2) enrolled in Medicare Parts A, B, and D; and
   3. (3) age 21 or older.

2. (b) The following dual eligible individuals cannot participate in the Dual Demonstration:

   1. (1) under age 21;

   2. (2) individuals not eligible for STAR+PLUS, including individuals:

      1. (A) residing in an intermediate care facility for individuals with an intellectual disability or related conditions;

      2. (B) receiving services under the following Medicaid 1915(c) waivers:

         1. (i) Home and Community-based Services (HCS);
         2. (ii) Community Living Assistance and Support Services (CLASS);
         3. (iii) Texas Home Living (TxHmL); or
         4. (iv) Deaf Blind with Multiple Disabilities (DBMD);
      3. (C) not eligible for full Medicaid benefits; or
      4. (D) in the conservatorship of the Texas Department of Family and Protective Services.

Source Note:The provisions of this §353.1105 adopted to be effective April 1, 2015, 40 TexReg 1705.