Complete Guide to Applying for Texas Medicaid Coverage

Texas Medicaid provides health coverage for low-income children, families, seniors and people with disabilities. The program offers comprehensive healthcare services including doctor visits, hospital care, prescription drugs, and long-term care services. Most Medicaid services are delivered through health plans that ensure you get the health care services you need.

STAR+PLUS is a Texas Medicaid managed care program for adults who have disabilities or are age 65 or older, providing Medicaid healthcare and long-term services and supports through a medical plan. Eligibility is based on income, household size, age, disability status, and citizenship. Each state has rules about who is eligible for Medicaid and what it covers, and some people qualify for Medicaid, Medicare or both.

Texas Medicaid covers essential medical services including preventive care, emergency services, mental health treatment, prescription medications, and specialized services for seniors and individuals with disabilities. The program also includes Medicare Savings Programs that help pay Medicare premiums and costs for eligible individuals.

When applying, be prepared for a thorough review process that examines your financial situation, household composition, and medical needs. If you don't have a health plan and need help, call the Medicaid Helpline at 800-335-8957. It's important to report any changes in income, address, or household members promptly to maintain your benefits and avoid potential overpayments or coverage gaps.