Medicaid recipients who are eligible for STAR+PLUS receive an enrollment packet in the mail that contains information about the program, instructions for completing the enrollment form, and information about the health plans available in their area. Clients can return their enrollment form by mail or by completing an enrollment form at an enrollment event or presentation.

Clients have 30 days after receiving the enrollment packet to select a STAR+PLUS health plan. If no health plan is selected, the Texas Health and Human Services Commission chooses a health plan and primary care provider for them.

Clients who are assigned a health plan may still choose their own health plan and primary care provider, but until they have formally made that change, they will receive their Medicaid services through the plan and provider to which they were assigned. STAR+PLUS members may change health plans as often as once a month.