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Medicaid is the state and federal cooperative venture that provides medical coverage to eligible needy persons. The purpose of Medicaid in Texas is to improve the health of people in Texas who might otherwise go without medical care for themselves and their children.
| Program Name | Texas Medicaid |
| Expanded Medicaid | No |
| Website | https://hhs.texas.gov/services/health/medicaid-chip |
| medicaid@hhsc.state.tx.us | |
| Phone | 800-252-8263 |
| Apply Online | https://yourtexasbenefits.com/ |
| Appeal a Denial | Request an Appeal |
| Find a Local Office | https://www.dshs.texas.gov/regions/default.shtm |
The mission of the Medicaid program is to improve the health of Texans by:
- Emphasizing prevention.
- Promoting continuity of care.
- Providing a medical home for Medicaid recipients.
- Ensuring that each recipient can receive high quality, comprehensive health care services within the recipient’s community
Eligibility Requirements
To be eligible for Texas Medicaid, you must be a resident of the state of Texas, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
You must also be one of the following:
- Pregnant
- Be responsible for a child 18 years of age or younger
- Blind
- Have a disability or a family member in your household with a disability
- Be 65 years of age or older
Annual Household Income Limits (before taxes)
| Household Size* | Maximum Income Level (Per Year) |
| 1 | $25,503 |
| 2 | $34,492 |
| 3 | $43,481 |
| 4 | $52,470 |
| 5 | $61,460 |
| 6 | $70,449 |
| 7 | $79,438 |
| 8 | $88,427 |
*For households with more than eight people, add $8,989 per additional person.
Available Services Include:
| Emergency services | Pediatric services |
| Family planning services | Physician services |
| Hearing services | Prescription drugs |
| Home health services | Rural health clinic services |
| Hospital services | Transportation to medical care |
| Laboratory and X-ray services | Vaccines |
| Nurse midwife services | Vision services |
| Nursing facility services | X-rays and lab tests |
Copayments
Texas Medicaid does not charge copayments for Medicaid members.
