On December 4, 2017, the Texas Health and Human Services Commission (HHSC) released a request for proposal (RFP HHS0000428) for the STAR+PLUS Medicaid managed care program which integrates the delivery of acute care, inpatient and outpatient behavioral health, and managed long-term services and supports (LTSS) for adult beneficiaries with disabilities. Adult beneficiaries with disabilities include individuals who are age 65 or older, blind, are in the Medicaid for Breast and Cervical Cancer program, or who are disabled. This RFP extends the STAR+PLUS program, which is authorized by the Texas Medicaid 1115 demonstration, with few changes to the . . .