Topic links:
About Medicaid in Texas*
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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 who might otherwise go without medical care for themselves and their children. Medicaid is different in every state. HHSC's Medicaid Office is responsible for statewide oversight of the Texas Medicaid Program.
" *source: Texas Health and Human Services Commission, Austin, TX 78708-5200
Texas Children’s Medicaid and Children's Health Insurance Program:
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Low-income children may receive health care coverage through the Children's Medicaid program or the Children's Health Insurance Program (CHIP). Both programs provide a wide range of benefits to keep kids healthy, including doctor’s visits, immunizations, prescription drugs, lab and X-ray charges, hospital care, eyeglasses and dental services.
"*source: Texas Health and Human Services Commission, Austin, TX 78708-5200
Texas Medicaid / Medicare: What's the difference?
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Medicaid in Texas is a program to provide health insurance coverage to low income families, disabled persons, and poverty level seniors. It is a joint program of the federal government and the state (Texas), where the federal government provides most of funding and sets the eligibilty standards, and the Texas government provides the specific care to all eligible persons and families.
"*source: Medicaid Medicare: What Are they, How Do They Work?
Medicare, on the other hand, is a health insurance care program for persons 65 and older, or people with certain disabilities. It is a federal program, a little like Social Security. Most people are familiar with Medicare's medical, hospital, and prescription drug plans that provide for seniors.
Note: You will need the Adobe® Reader® software to open and read some of these publications. Get it from Adobe®
Medicaid in Texas: How It Works; An Introduction to Texas Medicaid; What is Texas Medicaid?
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- brochure:
The Medicaid Program: A Brief Overview
source:AARP Policy and Research
file size: 4 pg.; languages: English
from the brochure:
"Within broad federal guidelines, states have the flexibility to design and manage their Medicaid programs... Medicaid eligibility is limited to individuals who fall into specified categories....
"
Texas Medicaid Eligibility
- web page:
(Texas) CHIP | Children's Medicaid - Who Qualifies?
source:(Texas) CHIP | Children's Medicaid
from the web page:
""To qualify for CHIP or Children's Medicaid, a child must be age 18 or younger, a Texas resident and a U.S citizen or legal permanent resident. The citizenship or immigration status of the parents does not affect the children's eligibility and is not reported on the application form...
"
- web page:
General Eligibility Criteria for Medicaid Payment for Long-Term Care Services
source:Own your future, Texas
from the web page:
""Texas Medicaid follows the federal Medicaid residency rules, which require that a person must be a Texas resident at the time of application and must intend to remain in Texas. There is no time requirement for living in Texas to establish residency. ...
"
- web page:
Medicaid Eligibility
source: Centers for Medicare & Medicaid Services
languages: English
Many groups of people are covered by Medicaid. Even within these groups, though, certain requirements must be met. These may include your age, whether you are pregnant, disabled, blind, or aged; your income and resources (like bank accounts, real property, or other items that can be sold for cash); and whether you are a U.S. citizen or a lawfully admitted immigrant. The rules for counting your income and resources vary from state to state and from group to group. There are special rules for those who live in nursing homes and for disabled children living at home.
Applying for Texas Medicaid
- Medicaid application publication:
Application for (Medicaid) Assistance in Texas
source:yourtexasbenefits.com
file size: 12 pg. languages: English
from the publication:
"Instructions: There are various ways to apply for assistance. You can: . Call 2-1-1 to apply over the phone or to get help in applying.. Go online at: www.yourtexasbenefits.com to apply.. Complete and fax this application to: 1-877-HHSC-TEX or 1-877-447-2839...Complete and mail this application to: HHSC"...
"
Versión en Español: ¡Bienvenidos a yourtexasbenefits.com! - web page:
Texas CHIP/Children’s Medicaid Application
source:CHIP | Children's Medicaid (Texas)
languages: English, Spanish
from the web page:"...You can fill out a CHIP/Children’s Medicaid application using your computer. Click the link below to open an on-screen version of the application. You can fill in the boxes by clicking on each, then typing in your information. ......"
Versión en Español: El seguro médico para niños ayuda a los niños a crecer saludablemente- also from CHIP | Children's Medicaid (Texas):
publication:
Fill out an application using your computer/printer
file size: 12 pg. languages: English
- also from CHIP | Children's Medicaid (Texas):
Texas Medicaid Buy-In Program
- web page:
Medicaid Buy-In Program Frequently Asked Questions
source:Texas Health and Human Services Commission - Medicaid
languages: English, Spanish
from the web page:
"What is the Medicaid Buy-In Program? What is the Income Pre-Test and the disability requirement? What is the resource limit? How is eligibility determined? What is the income limit? How is the monthly premium amount determined? When are the monthly premium payments due? What if a monthly premium payment is not made, how does that person get back into the Medicaid Buy-In program? What is the effective date for coverage under the Medicaid Buy-In program? What Medicaid services are available to a person enrolled in the Medicaid Buy-In program? Does a person applying for the Medicaid Buy-In program have appeal rights? How can you apply? ...
"
Children's Medicaid: Health Programs for Children: SCHIP: Texas
- web page:
Health Care Coverage for Texas Children
source:Texas Department of Insurance
languages: English, Spanish
from the web page:
"Health care coverage can assure your child’s access to medical care by helping pay for routine checkups and immunizations, prescription medicines, hospital stays, and other health services. Many parents are able to add their children as dependents to a group health plan offered through their work or some other association. For some parents, however, group coverage isn’t an option because it’s too expensive or their employer doesn't offer a health plan...
" - brochure or publication:
Medicaid and the state children’s health insurance Program in Texas
source:Code Red: The Critical Condition of Health in Texas
file size: 14pg. languages: English
from the brochure:
"Medicaid and the State Children’s Health Insurance Program (SCHIP) are key programs for providing health insurance and health care to low-income people in the United States. This chapter reviews the current state of Medicaid and SCHIP in the United States and Texas. Contents of this chapter summarize and update a white paper submitted to the Task Force by Warner, et. al. (...
" - brochure or publication:
CHANGES TO TEXAS MEDICAID THAT AFFECT BENEFICIARIES UNDER THE AGE OF 21
source:Advocacy, Inc.
file size: 5 pg. languages: English
from the brochure:
"Report and discussion of the effects of the Alberto N. Settlement Agreement law suit. ...
" - brochure or publication:
TEXAS MEDICAID FACTS
source:AMERICAN ACADEMY OF PEDIATRICS
languages: English
from the brochure:
Thirty-two percent of Texas’ children are enrolled in Medicaid.
It costs Texas just $1,779 per year, on average, for each Medicaid eligible child compared to the average costs per adult Medicaid enrollee of $6,116. - brochure or publication:
Children’s Medicaid and SCHIP in Texas: Tracking the Impact of Budget Cuts
source: The Henry J. Kaiser Family Foundation
file size: 9 pg. languages: English
from the publication:
(2004) "Enrollment in the Texas State Children’s Health Insurance Program (SCHIP) has declined steeply over the past year on account of recent policy changes that have significantly impacted children. Cuts to Medicaid and SCHIP were deep, and even after several incremental restorations, are projected by state officials to reduce total spending for the FY2004-2005 biennium budget by more than $1.6 billion.
"- also from Henry J. Kaiser Family Foundation:
publication:
Medicaid and State Budgets: An Overview of Five States' Experiences in 2001
27 pages; languages: English
from the publication:
"presents a review of the role of Medicaid in the budgets of five states: Idaho, Indiana, Missouri, North Carolina, and Texas...
"
- also from Henry J. Kaiser Family Foundation:
- web page:
Texas: SCHIP Program Name and Type, 2007
source:Kaiser Family Foundation statehealthfacts.org
languages: English, Spanish
from the web page:
"Individual state profiles...
" - web page:
Texas Public Health Insurance for Children
source:National Center for Children in Poverty
languages: English
from the web page:
"Eligibility Criteria... Benefits... Participants... Spending ...
"- also from National Center for Children in Poverty:
web page:
Texas Public Health Insurance for Parents
languages: English
- also from National Center for Children in Poverty:
Primary Care Case Management PCCM
- web page:
What is Primary Care Case Management PCCM?
source:Texas Medicaid & Healthcare Partnership's (TMHP)
languages: English, Spanish
from the web page:
"Medicaid services for you or your children will be provided through PCCM. You can get:
All regular Texas Medicaid services.
A doctor who helps you manage your health care.
Medicine from drugstores that take Medicaid.
Free home delivery of medicine from some Medicaid drugstores (ask your drugstore if they offer home delivery).
Texas Health Steps medical and dental check ups and care from birth through 20 years of age.
Free transportation or money for gas through the Medical Transportation Program.
Reminders about your children's check ups and shots.
Referrals to specialty doctors when you need them. ..."- also from Texas Medicaid & Healthcare Partnership's (TMHP):
brochure:
PCCM Client Handbook
18 pages; languages: English
from the web page:
"You or your kids get Medicaid services through the Primary Care Case Management program (PCCM). In this program, you will get most of your health care from a primary care provider. A primary care provider can be a doctor, nurse, or clinic that you pick from the Primary Care Provider and Hospital List. ...
"
- also from Texas Medicaid & Healthcare Partnership's (TMHP):
STAR Texas Managed Care
- web page:
STAR Texas Managed Care - What is STAR managed care?
source:Texas Health and Human Services Commission - Medicaid
languages: English, Spanish
from the web page:
"In managed care, you choose a health plan and a primary care provider. Each health plan has a large group of providers in your area that can care for you. These providers include specialists, clinics and hospitals...
"- also from STAR Texas Managed Care:
brochure:
Plans available in your area
languages: English, Spanish
from the web page:
"STAR is in the Bexar, Dallas, El Paso, Harris, Lubbock, Nueces, Tarrant and Travis Service Areas. See the map of service ...
"
- also from STAR Texas Managed Care:
Texas Medicaid Benefits and Coverage: Medicaid Services
- web page:
Office Locator
source:yourtexasbenefits.com
languages: English
from the brochure: "locate an HHSC benefits office in your area....
"- also from yourtexasbenefits.com:
web page:
Once I am certified, how do I get my benefits?
languages: English
from the web page:
"... For Medicaid and nursing facilities programs, you will receive a medical care identification form each month to confirm your eligibility for Medicaid...
" - Complete Screening
languages: English
from the web page:
"... FBy completing the following self-screening questionnaire, you can find out what State benefits you may qualify to receive...
"
- also from yourtexasbenefits.com:
- web page:
Benefits by State: Texas (October 2004)
source:Kaiser Family Foundation
languages: English, Spanish
from the web page:
"Medicaid benefits: Online database
"
- brochure or publication:
Mental Health and Substance Abuse Services in Medicaid and SCHIP in Texas
source: US Dep't of Health and Human Services, Substance Abuse and Mental Health Services Administration
file size: 7 pg.; languages: English
from the brochure:
"As of July 2003, 2,997,272 people were covered under the Texas Medicaid program and the Children’s Health Insurance Program (CHIP). There were 2,488,090 enrolled in the Medicaid program, and 509,182 enrolled in the separate CHIP program. In federal fiscal year 2003, Texas spent about $15.4 billion to provide Medicaid services. In Texas, eligible low-income children are enrolled into the Medicaid program or a separate CHIP program based on the child’s age and their family’s income....
"
Texas Medicaid Dental Services; Dentist
- web page:
Oral Health Program
source:Texas Health Steps
2 pages; languages: English
from the brochure: "The Oral Health Program (OHP) at the Department of State Health Services (DSHS) encourages Texas residents to improve and maintain good oral health. The OHP works with various partners across the State to identify the oral health needs of Texans and the resources to meet those needs...
"- also from Texas Health Steps:
brochure:
Your Child's Teeth Are Important
2 pages; languages: English, Spanish
from the brochure:
- also from Texas Health Steps:
Texas Medicaid and Nursing Homes, Assisted Living, Long Term Care
- web page:
Frequently Asked Questions - Division of Assets on Spousal Impoverishment
source:Texas Department of Aging and Disability Services
languages: English
from the web page:
"On March 1, 2005, Texas implemented the Medicaid Estate Recovery Program in compliance with federal Medicaid laws. The Texas Department of Aging and Disability Services (DADS) manages the program...
"- also from Texas Department of Aging and Disability Services:
brochure:
Guide to the Medicaid Estate Recovery Program
languages: English
from the brochure:
"information about the State of Texas having the right to ask for money back from your estate after you die if you received Medicaid long-term services. In some cases, the state may not ask for anything back, and the state will never ask for more money back than it paid for your services....
"
Versión en Español: Su guía al Programa de Recuperaciónde Medicaid
- also from Texas Department of Aging and Disability Services:
- web page:
Office Locator
source:Texas Health and Human Services Commission
languages: English
from the web page:
"Directory of regional offices. Find a HHSC Office near you -Texas Health and Human Services Commission...
" - web page:
Key Medicaid Information for Texas
source:Elder Law Answers
languages: English
Explains important basics about Texas Medicaid. Topics include protections for the community spouse, transfers, income, and estate recovery. - brochure or publication:
PLANNING FOR LONG-TERM CARE MEDICAID COVERAGE IN TEXAS
source: TI Alumni Association
file size: 7 pg. languages: English
from the publication:
"Data contained in this presentation answers legal questions offered by Seniors in Texas. The answers refer to Texas law, but may give readers in other states a basis for discussion with their own attorneys. Laws change, and you should consult with your own attorney before taking action on a legal issue...
" - web page:
Texas Nursing Homes and Long Term Care Facilities Directory
source:The Texas Long Term Care Care Project
languages: English
from the web page:
"These are Texas Nursing Homes in cities A - Z.
"In addition to the state directory described above, there are nursing home directories for principal Texas cities. A few examples:
- also from The Texas Long Term Care Care Project:
brochure:
Texas Assisted Living Guide & Directory; TX Independent Assisted Living
languages: English
from the brochure:
"...A consumer's guide to information and help about assisted living in Texas, with a directory of assisted living, continuing care, and elder care sorted by Texas cities...
"
- also from The Texas Long Term Care Care Project:
