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Texas Medicaid

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
Email 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


Texas Medicaid does not charge copayments for Medicaid members.