Texas Healthcare Consulting
Texas behavioral health & SUD consulting.
Texas-specific consulting for SUD and mental health providers — HHSC licensure, Texas Medicaid STAR/STAR+PLUS/STAR Kids contracting, commercial behavioral carve-outs, and BCBS Texas network strategy.
Payers & networks
Where Texas contracting actually happens.
Texas Medicaid Managed Care
STAR, STAR+PLUS, STAR Kids, and STAR Health contracting through Superior, Amerigroup, Molina, UnitedHealthcare Community Plan, Aetna Better Health, and others.
BCBS Texas Networks
BlueChoice, ParPlan, HMO Blue Texas, and BCBSTX Medicare Advantage contracting.
Commercial Behavioral
Optum, Magellan (state Medicaid behavioral), Cigna/Evernorth, Aetna BH, and Carelon contracting.
HHSC Licensure
Texas Health and Human Services Commission SUD treatment facility licensure and mental health facility licensure.
VA CCN Region 3
VA Community Care Network Region 3 (Optum) contracting.
Tricare East
Tricare East (Humana Military) contracting for Texas military communities.
What we deliver in Texas
End-to-end Texas consulting.
Licensure, accreditation, payer contracting, and revenue cycle — sequenced for the realities of operating in Texas.
- HHSC facility licensure
- Texas Medicaid MCO contracting
- Magellan behavioral carve-out
- Commercial network contracting
- BCBS Texas contracting
- CARF & Joint Commission
- Provider credentialing
- Telehealth setup
- Revenue cycle management
- Compliance & UM prep
FAQ
Texas contracting, answered.
- How does Texas Medicaid behavioral health contracting work?
- Texas Medicaid behavioral health is largely administered through Magellan as the behavioral carve-out vendor for STAR/STAR+PLUS, plus direct MCO contracting for medical services. SUD residential and PHP/IOP require HHSC licensure first.
- Which Texas Medicaid MCOs should we prioritize?
- Depends on your service area. Superior, Amerigroup, and Molina cover the largest STAR populations; UnitedHealthcare Community Plan, Aetna Better Health, and Cook Children's Health Plan dominate in specific service areas. We map applications to your geography.
- Is the BCBS Texas network open?
- BCBSTX behavioral and SUD panels vary by region. Houston, DFW, and Austin are tight; West Texas and South Texas often have network-need openings. We pull the latest panel status before applying.
- What facility licensure does Texas require for SUD?
- HHSC issues separate licenses for chemical dependency treatment facilities (CDTF) by level of care — detox, residential, intensive residential, day treatment, and outpatient. Each requires distinct staffing, physical plant, and clinical documentation.
Operating in Texas
Texas-sized payer strategy, executed.
HHSC licensure through commercial contracting — built for the scale and regional variation of Texas healthcare.