Texas Medicaid Eligibility

This page provides general guidelines for the Texas Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is Texas Health and Human Services Commission. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Texas Medicaid office.


Texas Medicaid Overview

The Medicaid program is a federal and state funded program that serves needy individuals and families who meet income and other eligibility requirements and who lack adequate resources to pay for medical care.


Texas Medicaid Eligibility Requirements - Non Income

Must be a U.S. citizen or legal permanent resident and live in Texas.


Documents Needed For Texas Medicaid Application


Texas Medicaid Benefits

Medicaid pays for acute health care (physician, inpatient, outpatient, pharmacy, lab, and x-ray services), and long-term services and supports for aged and disabled clients.


Texas Medicaid & CHIP Eligibility Levels

Below is the modified adjusted gross income (MAGI) eligibility levels for Texas Medicaid and Children's Health Insurance Program (CHIP).

Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: 198%
Age 1-5: 144%
Age 6-18: 133%
201% Medicaid: 198%
CHIP: N/A
15% 0%

Eligibility Levels - Individual By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $1,926
Age 1-5: $1,400
Age 6-18: $1,293
$1,955 Medicaid: N/A
CHIP: N/A
$146 $0

Eligibility Levels - Family Of Two By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $2,595
Age 1-5: $1,888
Age 6-18: $1,743
$2,635 Medicaid: $2,595
CHIP: N/A
$197 $0

Eligibility Levels - Family Of Three By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $3,265
Age 1-5: $2,375
Age 6-18: $2,193
$3,315 Medicaid: $3,265
CHIP: N/A
$247 $0

Eligibility Levels - Family Of Four By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $3,935
Age 1-5: $2,862
Age 6-18: $2,643
$3,995 Medicaid: $3,935
CHIP: N/A
$298 $0