Texas Health and Human Services
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Medicaid for the Elderly and People with Disabilities | Texas Health and Human Services
To learn more about all your options, contact your local Aging and Disability Resource Center or call 2-1-1. To get MEPD, you must be a Texas resident and a U.S. citizen or qualified non-citizen. When you apply, we'll ask about your income, your age, and your disability to see if you qualify.
Texas Health and Human Services
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Medicaid and CHIP | Texas Health and Human Services
Medicaid and the Children's Health Insurance Program (CHIP) provide health coverage for low-income children, families, seniors and people with disabilities.
Who is eligible for Medicaid in Texas?
In addition to those with low incomes who are aged, blind, or disabled (receiving SSI benefits), the following populations are eligible for Medicaid in Texas:[efn_note]”Medicaid, Children’s Health Insurance Program, & Basic Health Program Eligibility Levels” Medicaid.gov. Accessed Feb. 4, 2025[/efn_note]
- Children aged 0-1: 198% of the federal poverty level (FPL)
- Children aged 1-5: 144% of FPL
- Children age 6-18: 133% of FPL
- Pregnant women: 198% of FPL
- Adults caregivers of children or adult relatives: 12% of FPL
- Children are eligible for either Medicaid or CHIP if their household incomes are up to 201% of poverty
Texas has not expanded Medicaid under the ACA, so adults under 65 who aren’t disabled or raising a child are ineligible for Medicaid regardless of how low their income is.
healthinsurance.org
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Medicaid eligibility and enrollment in Texas
How can I enroll in Texas Medicaid?
If you believe you may be eligible to enroll in Medicaid in Texas:
- You can start the process through HealthCare.gov, either online or by phone at 1-800-318-2596. (Use this option if you’re under 65 and don’t have Medicare; you will be directed to the Texas Medicaid agency if HealthCare.gov believes you’re eligible for that coverage.)
- You can enroll through the Medicaid website maintained by the Texas Health and Human Services Commission.
- You can also download and print a paper application, or request that one be mailed to you, by using this page on the Texas Medicaid website.
healthinsurance.org
healthinsurance.org › home › medicaid › medicaid eligibility and enrollment in texas
Medicaid eligibility and enrollment in Texas
How to apply for Medicaid
You can apply for Medicaid anytime in one of the following ways:
- Find and check with your state's Medicaid agency to apply. You must be a resident of the state where you are applying for benefits.
- Create an account with the Health Insurance Marketplace and fill out an application. If it looks like anyone in your household qualifies for Medicaid, your information will be sent to your state agency. They will contact you about enrollment.
What documents and information do you need for your Medicaid application?
When you apply for Medicaid, you may need to provide certain information or documentation. But what is required depends on your state. Your state Medicaid agency may ask for:
- Your name and date of birth
- Your Social Security number
- Your monthly payment amounts for rent, mortgage, or utilities
- Proof of citizenship or immigration status
- Proof of income, like paystubs or W-2s
- A verification of what other government benefits you receive
- Information about an insurance plan your employer has offered you or an insurance plan you currently have
Find and check with your state's Medicaid agency to learn what documentation they require.
usa.gov
usa.gov › home › health › health insurance › medicaid and chip
How to apply for Medicaid and CHIP | USAGov
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Texas Medicaid Right for You? Find Out How to Qualify!
Medicaid Planning Assistance
medicaidplanningassistance.org › medicaid-eligibility-texas
Texas Medicaid Eligibility: 2026 Income & Assets Limits
December 4, 2025 - There are three categories of Medicaid programs through which Texans might be eligible for long-term care. 1) Institutional / Nursing Home Medicaid – An entitlement; anyone who is eligible will receive assistance. Benefits are provided in Medicaid-certified nursing homes. 2) Medicaid Waivers / Home and Community Based Services – Not an entitlement; the number of participants are limited and waiting lists (interest lists) may exist. Intended to delay and prevent nursing home care, benefits are provided at home, adult day care, adult foster care home, or in assisted living.
Texas Medicaid Help
Texas did not expand Medicaid so you need to be disabled, elderly, parent with child, child, blind or pregnant to even have a chance to qualify for it. You would need to be on Social Security Disability or deemed disabled by TX Medicaid. More on reddit.com
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September 2, 2023Moving to Texas, Medicaid requirements incomprehensible
You should not move to Texas if you're looking for medicaid. In a non expanded state typically you'll need to be receiving SSI or have child dependents and your income can't exceed 100% FPL. NY is 138%. That said, income $12761+ gets you the APTC subsidy on the marketplace.
There are 12 states with no intent to expand in 2021, most of them are in the south. If you're an adult 19-64, a non-expanded medicaid state is not a good choice.
More on reddit.com 11
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August 12, 2019Texas Medicaid
It is very difficult for an adult to qualify for Medicaid. Is he over 65? If so, he can get Medicare. He can also go to Healthcare.gov and choose a marketplace plan. If his income is low enough then he probably qualifies for a discounted plan. More on reddit.com
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December 31, 2023As a nursing student, can I apply for medicaid?
You do not qualify as an adult in Texas. Only children, the disabled, or new mothers less than 6 months qualify for Medicaid in the state of Texas. An option may be the Affordable Care Act. Open enrollment for coverage under the Affordable Care Act begins on 11/1 and they have some very cheap options for singles. There are some plans with super high deductibles with little to no monthly premium. Not the best coverage, but if proof of insurance is all you need it may be an option. If 11/1 is too late you may call them versus enrolling online and explain your situation. They may consider it a life event change and help you sign up immediately. There is a kicker though. You must declare to make an income next year of at about $13,000 to qualify. Research what it may be at tax time if you do not hit that target. Yes confusing and outrageous. Those who drafted the ACA never imagined state leadership would opt out accepting the Medicaid expansion offered free of charge to cover their low income residents, but Texas did and continues to do so. More on reddit.com
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January 20, 2021Medicaid
medicaid.gov › state-overviews › stateprofile.html
Texas | Medicaid
Income eligibility levels are tied to the federal poverty level (FPL). The following table provides a more detailed view of 's MAGI-based eligibility levels, expressed as a percentage of the FPL, for several key groups: children, pregnant women, parents/caretaker relatives, and, other adults
Every Texan
everytexan.org › home › our work › policy areas › health care › health insurance coverage › medicaid
Medicaid - Every Texan
February 23, 2024 - Very few parents can access Texas Medicaid; left out of Texas Medicaid are parents with incomes between 18% and 100% of the federal poverty income. Adults with serious, chronic, or mental illness. Disability-related Medicaid only becomes available when a person is no longer able to work at ...
HealthInsurance.org
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Medicaid eligibility and enrollment in Texas
November 26, 2025 - Children are eligible for either Medicaid or CHIP if their household incomes are up to 201% of poverty · Texas has not expanded Medicaid under the ACA, so adults under 65 who aren’t disabled or raising a child are ineligible for Medicaid regardless of how low their income is.
HealthCare.gov
healthcare.gov › medicaid-chip
Medicaid & CHIP coverage | HealthCare.gov
November 1, 2025 - Medicaid and the Children’s Health Insurance Program (CHIP) provide free or low-cost health coverage to eligible low-income adults, families and children, pregnant women, the elderly, and people with disabilities.
SingleCare
singlecare.com › home › guide to medicaid in texas
Guide to Medicaid in Texas | SingleCare
1 month ago - Adults with disabilities may have the option to get Medicaid, even if they work; they can “buy in” through the Medicaid Buy-In for Adults program. Texas residency is a requirement for eligibility in both Medicaid and CHIP in Texas.
USAGov
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How to apply for Medicaid and CHIP | USAGov
November 21, 2025 - Your state may review your information each year to decide if you are eligible for Medicaid. If they need more information from you, they will contact you about renewing your coverage.
Aetna Better Health
aetnabetterhealth.com › texas › medicaid-chip-eligibility-qualifications.html
Medicaid and CHIP Eligibility: Do I Qualify? | Aetna Medicaid Texas
Or apply at Your Texas Benefits. You can also call 211 (TTY: 711) for help. If you don’t qualify for CHIP Perinatal coverage, you may qualify for Medicaid. Just give us a call to find out: ... People who have disabilities can get more help in the form of monthly payments. The Social Security Administration offers two kinds of benefits: Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI). For adults with children and little or no work history.
Smcesq
smcesq.com › home › how your assets and income affect medicaid eligibility in texas
How Your Assets and Income Affect Medicaid Eligibility in Texas
January 11, 2024 - However, if only one of you applies for Regular Medicaid, both incomes count toward the applicant’s income eligibility. There are also countable and non-countable assets. Countable assets count towards your asset limit and include: ... There are a number of assets that aren’t countable, however. These include personal belongings, household furnishings, an automobile, and irrevocable burial trusts. In Texas, IRAs and 401Ks may also be exempt as long as they are in “payout” status, meaning that the required minimum distribution (RMD) is being withdrawn.
Texas Health and Human Services
hhs.texas.gov › home › search services › health › medicaid and chip › medicaid and chip programs and services › programs for children and adults with disabilities › medicaid buy-in for adults
Medicaid Buy-In for Adults | Texas Health and Human Services
The Medicaid Buy-In (MBI) program offers low-cost Medicaid services to adults with disabilities who work. You might be able to get MBI, if you: ... Don't live in a state institution or nursing home all the time. ... After applying, you will receive a letter telling you if you are eligible for ...
KFF
kff.org › home › state health facts › medicaid & chip › medicaid/chip eligibility limits › medicaid income eligibility limits for adults as a percent of the federal poverty level
Medicaid Income Eligibility Limits for Adults as a Percent of the Federal Poverty Level | KFF State Health Facts
August 9, 2025 - State level data on Medicaid Income Eligibility Limits for Adults as a Percent of the Federal Poverty Level from KFF, the leading health policy organization in the U.S.
Superior HealthPlan
superiorhealthplan.com › members › medicaid › how-to-enroll.html
How to Apply for Medicaid in Texas | Superior HealthPlan
Learn how to apply for Medicaid in Texas through Superior HealthPlan. Review eligibility requirements and plan options before you enroll for Texas Medicaid to ensure that you receive the plan that meets your needs.
Connie Health
conniehealth.com › home › blog › medicare costs › 2025 medicare and medicaid in texas: eligibility & how to enroll
2025 Medicare & Medicaid in Texas: Eligibility & Enroll | Connie Health
December 13, 2024 - This non-technical, medically related ... is eligible to adults whose health problems cause them to be limited in performing daily living activities according to their doctor’s statement of medical need. Are you single, married with both spouses applying for Medicaid, or married with one spouse applying? Review the tables that apply to you to learn about the maximum income and financial assets and the level of care for each of Texas’s three ...
Aaact
aaact.org › home › medicaid
Medicaid * Area Agency on Aging of Central Texas
February 27, 2019 - Unbiased information about Medicare ... assistance with enrollment into a plan of the individual’s choice. A person who is 65 years or older, or a person who has a disability, may receive Medicaid assistance if he or she meets ...
Wthompsonlaw
wthompsonlaw.com › nursing-home-care-do-you-meet-the-texas-state-medicaid-eligibility-requirements
Do You Meet the Medicaid Eligibility Requirements in Texas? ⚖️- Updated Feb 2025
February 13, 2025 - Here is a brief overview of Texas state Medicaid eligibility requirements. You must: ... Be a U.S. citizen, national, permanent resident, or legal alien ... To learn more about the requirements you need to meet, visit the Texas Medicaid website. Qualifying for Medicaid to cover nursing home care in Houston requires meeting specific financial and medical criteria.
Medicare
medicare.gov › basics › costs › help › medicaid
Medicaid | Medicare
Medicaid is a joint federal and state program that helps cover medical costs for certain low-income people, families and children, pregnant women, the elderly, and people with disabilities. Medicaid also helps cover medical costs for other adults. Medicaid offers benefits not normally covered by Medicare, like nursing home care and personal care services. The rules around who’s eligible for Medicaid are different in each state.
Wellpoint
wellpoint.com › tx › medicaid
Texas Medicaid Health Insurance | Wellpoint
... For CHIP perinatal services offer health care benefits to unborn children of pregnant women. ... For children and young adults ages 20 and younger who have disabilities or complex health needs.