Seton Health Plan (SHP) is an HMO health plan licensed by the Texas Department of Insurance (TDI). In addition to the HMO license, SHP has a Utilization Review Agent license, which focuses on the utilization management/medical management components of health plans and on improving the overall quality of health plans.
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Information for Providers
SHP currently serves the Medicaid STAR (18,000 members), Children’s Health Insurance Program (CHIP) (8,700 members) and MAP/charity/sliding fee scale (75,000 lives) populations.
SHP began as a health plan in 1999 by serving the CHIP population. In 2002, SHP began serving the MAP population. In 2012, SHP expanded into Medicaid with the addition of the STAR product. The plan is wholly owned affiliate of the Ascension Seton.