Texas CHIP / STAR Kids

GovernmentTX

ABA billing requirements · Source: Texas HHSC — STAR Kids Program (ABA Services)

High confidence

Verified 2026-03-16

Authorization Requirements

Requires prior auth Yes

Initial auth duration6 months

Renewal auth duration6 months

Submission deadline14 days

Unit tracking cadenceTotal

Requires FBA Yes

Diagnostic eval validity36 months

Re-eval cadenceEvery 6 months

BH carve-out managerOptum

State licensure requiredLBAS (TX State Board of Examiners of Psychologists) — required for Medicaid billing

Documentation Requirements

Parent signatures required Yes

Start/stop times required Yes

Treatment plan componentsASD diagnosis, Functional Behavior Assessment, Baseline data, Measurable goals, Intervention strategies, Caregiver training plan, Service coordination plan

Progress summary cadenceEvery 6 months

Policy Notes

Texas STAR Kids is the CHIP/Medicaid managed care program for children and youth with disabilities, administered through MCOs (Molina, Superior, UHC, Driscoll, etc.). ABA prior auth required through the assigned MCO. BCBA must be enrolled with both Texas Medicaid and the specific MCO. STAR Kids has distinct service coordination requirements beyond standard STAR Medicaid.

CPT & Modifier Rules

CPT rules require a free account

View H-codes, modifiers, unit limits, and billing restrictions for Texas CHIP / STAR Kids.

Official policy source:Texas HHSC — STAR Kids Program (ABA Services)

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Data last verified: 2026-03-16 · Confidence: High · See our methodology

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