Texas Medicaid: Your Guide to Affordable Health Coverage

Texas medicaid

What Is Texas Medicaid?

Texas Medicaid is a program that helps provide medical coverage to people who need it.
It’s a partnership between the state of Texas and the federal government.

Here’s what you need to know:

Purpose

The main goal of Texas Medicaid is to improve health.
It’s there to make sure that Texans get the medical care they need, especially if they might not be able to afford it otherwise.

Mission

Texas Medicaid works toward better health by

  • Preventing health problems before they become serious.
  • Making sure people can keep getting care consistently.
  • Creating a medical home: This means having a place where Medicaid recipients can go for all their health needs.
  • Ensuring quality: Texans should receive excellent and comprehensive health services right in their own communities.

Who Can Get Texas Medicaid?

To qualify for Texas Medicaid, you need to meet certain criteria.
Here’s who can apply:

  • Residency: You must be a Texas resident.
  • Citizenship or Legal Status: You can apply if you’re a U.S. national, citizen, permanent resident, or legal alien.
  • Health Care Need: You should need health care or insurance assistance.
  • Income Level: Your financial situation matters. You must fall into the low income or very low income category.
  • Specific Situations: You can qualify if you are:
    • Pregnant.
    • Responsible for a child who is 18 years old or younger.
    • Blind.
    • Have a disability or live with a family member who has a disability.
    • 65 years old or older.
  • Income Limits: Your annual household income (before taxes) must be below:
Household Size*Maximum Income Level (Per Year)
1$28,869
2$39,046
3$49,223
4$59,400
5$69,578
6$79,755
7$89,932
8$100,109
*For households with more than eight people, add $10,177 per additional person. Always check with the appropriate managing agency to ensure the most accurate guidelines.

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