Texas Medicaid
Finding the right answers and information about a complicated topic like Medicaid can mean searching through hundreds of pages at government and private websites. Our editors have compiled this digest of Texas Medicaid help and resources to assist in your search.
topics: Texas Medicaid: Texas Public Health Insurance: medical coverage, centers for Medicaid; Medicaid In Texas; Medicaid Assistance information; TX; definition Medicaid Texas: Texas Medicaid Eligibility: Applying for Texas Medicaid: Medicaid: Health Programs for Children: CHIP:
Topics: (mostly on this page)
| If you need help understanding what Texas Medicaid is and how it works, start here: |
If you would like to learn about who is eligible for Medicaid, chose these: |
| For other topics about Medicaid in Texas, choose from the lists on the left. |
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| Note: The published date or update shown for each listing below was current as of July, 2011. It is possible that some resources have been updated, edited, or deleted since then. |
- About Medicaid in Texas*
- "
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:
- "
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
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Medicaid in Texas: How It Works; An Introduction to Texas Medicaid; What is Texas Medicaid?
- web page:
MEDICAID | Texas
source:healthinsuranceinfo.net - Georgetown University's Health Policy Institute languages: English (published update: July 2009) Texas Medicaid is covered in a one-page review, which includes details about low income eligibility guidelines. This site has additional pages on Texas health insurance topics, especially geared to the low income adult who might not afford health coverage on their own. The source is a well-known expert organization associated with Georgetown University.
- web page:
Texas Medicaid in Perspective
source:Texas Health and Human Services Commission languages: English (update 1/2011) These pages contain "The Pink Book", which is a scholarly presentation of the case for Medicaid, and how it has changed, and will continue to change. It is not a good choice for day-to-day how-to information.
- also from Texas Health and Human Services Commission:
web page: The State Plan - Medicaid languages: English (last updated on 05/16/2011) The "State Plan" claims to be the official Texas government plan on how Medicaid will be structured and administered in Texas. Much of the content is actual parts of the legislature's bill. NOT a site to find how-to info, but valuable for research purposes.
- web page:
Texas Medicaid
source:GovBenefits.gov - Your Benefits Connection languages: English (no date of publication) A short overview of Texas Medicaid, from this Federal government web site.
- web page:
Key Medicaid Figures for Texas for 2011
source:Elder Law Answers languages: English (updated: 3/2011) A brief summary of Texas Medicaid monetary limits and asset regulations, presented by a Texas elder-law attorney.
- web page:
Texas & United States State Medicaid Fact Sheets
source:Kaiser Family Foundation file size: languages: English (no update data shown) Demographic statistics regarding poverty, low-income populations and health care.
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Medicaid Eligibility
Medicaid Citizenship Requirements
Applying for Medicaid
Medicaid Buy-In Program
Medicaid Area Offices, Medicaid Hotline
Children's Medicaid: Health Programs for Children: SCHIP
- web page:
CHIP and Children's Medicaid - What does it cover?
source:CHIP | Children's Medicaid
languages: English, Spanish
(page updated 2011) from the Texas Health and Human Services Commission. Bullet point list of benefits that might be covered by CHIP | Children's Medicaid.
- also from CHIP | Children's Medicaid:
web page:
How to Apply
languages: English
Apply on-line, or in a printed application, or by visiting an office.
- web page:
Health Care Coverage for Texas Children
source:Texas Department of Insurance
languages: English, Spanish
(October 2010)
Presents alternatives for people who cannot get private medical care coverage for their children through dependant group coverage.
- 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
(2004?) One chapter of a report compiled by a task force comprised of business, health care professionals, insurers, and consumers about the state and quality of health care coverage in Texas.
- brochure or publication:
CHANGES TO TEXAS MEDICAID THAT AFFECT BENEFICIARIES UNDER THE AGE OF 21
source:Advocacy, Inc.
file size: 5 pg. languages: English
(2006) Changes in Medicaid brought about by settlement of a law suit, mostly related to the Early and
Periodic Screening, Diagnosis, and Treatment (EPSDT) program.
- brochure or publication:
TEXAS MEDICAID FACTS
source:AMERICAN ACADEMY OF PEDIATRICS
languages: English
(January 2007) A brief description of hom Medicaid works, and how pediatricians and children's hospitals are important to children on Medicaid.
- 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
(published 2004) Details and discussion of how program budget cuts effected enrollment and coverage in Texas Medicaid.
- web page:
Texas: SCHIP Program Name and Type, 2007
source:Kaiser Family Foundation statehealthfacts.org
languages: English, Spanish
(2010) One of many pages at StateHealthFacts.Org about Texas Medicaid and CHIP. The information is largely statistical, or summaries of eligibility and coverage, and enrollment.
- web page:
Texas Public Health Insurance for Children
source:National Center for Children in Poverty
languages: English
A page of statistics and summaries of regulations on eligibility for Texas Medicaid and SCHIP.
Primary Care Case Management PCCM
- web page:
What is Primary Care Case Management - PCCM?
source:Texas Medicaid & Healthcare Partnership's (TMHP)
languages: English, Spanish
PCCM is a health plan program that provides Medicaid services and help with Medicad issues to people throughout Texas. It is provided by a private contractor called The Texas Medicaid and Healthcare Partnership.
This page provides limited details and answers about how PCCM works and what it provides.
- also from Texas Medicaid & Healthcare Partnership's (TMHP):
brochure:
PCCM Client Handbook
18 pages; languages: English
This handbook for Medicaid adults and families provides greater detail and more information about PCCM than the web page described above.
STAR Managed Care
- web page:
STAR Texas Managed Care
source:Texas Health and Human Services Commission - Medicaid
languages: English, Spanish
Star Managed Care is a medical care program for people who live in certain areas of Texas. It provides benefits that are about the same as regular Medicaid, but members must choose a health plan and primary care provider.
This web page is the FAQ page for STAR Texas Managed care. It contains answers to 15 basic questions about what STAR is, who it covers, what areas of Texas it serves, and how different plans compare.
Medicaid Benefits and Coverage: Medicaid Services
- web site:
Your Texas Benefits
languages: English
(no publication date is available) The navigation bar at the top of the page offers six subtopics about Texas Medicaid and other benefit programs. Clicking on "Common Questions" delivers a web page of numerous FAQ's about applying for and receiving benefits, along with telephone contacts and instructions for using the website.
Back at the home page, there is a short form you can complete to find out what benefits you might be eligible for.
If you are receiving benefits already, or have applied for them, you can also view details about your case. This feature requires a security log-in and password.
- web page:
Benefits by State: Texas (October 2004)
source:Kaiser Family Foundation
languages: English, Spanish
(published Oct. 2004) This page is from the Kaiser online database of Medicaid Benefits. It contains a chart of acute care services (from clininc, hospitals, and practitioners) with data on wether the service is covered, what limitations apply, approvals required before service, and other topics.
- brochure or publication:
Women and Medicaid in Texas
source:National Women's Law Center
3 pages; languages: English, Spanish
from the brochure or publication:
"Nearly one in ten women in Texas receives health care coverage through Medicaid....
"
- 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
(published: 2004) Describes coverage and eligibility of Medicaid and Children's Health Insurance Program for mental health and substance abuse services. The focus is on help for children and minors, but there are descriptions for adult programs also. CAUTION: this is an older publication, and the reader should be mindful that state regulations may have changed since it was written.
Medicaid Dental Services; Dentist
- web page:
Oral Health Program
source:Texas Health Steps
2 pages; languages: English
(updated June 2011) This page is the start of a whole section about oral health programs from the Texas Department of State Health Services. You can select from numerous links to specific topics about dental programs and dental health.
- also from Texas Health Steps:
brochure:
Your Child's Teeth Are Important
2 pages; languages: English, Spanish
from the brochure:
A simple reminder to parents about how to help your child have good dental health. One page is in English, the second is in Spanish.
- web page:
Find an Oral Health Provider: Texas Dental Providers
source:InsureKidsNow.gov
languages: English
(no date) A search tool to locate children's dentists in Texas that participate in state medical plans like Medicaid..
Medicaid and Nursing Homes, Assisted Living, Long Term Care
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TX: Texas Medicaid Elgibility: Applications: Benefits: state Medicaid
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