Texas HHSC benefits
How to sign up for Medicaid in Texas starts with Texas Health and Human Services. Applications can be filed online through Your Texas Benefits, by phone, through an HHSC office, or by mail or fax.
Texas application process
Texas policy allows Medicaid applications online, in a local office, by mail, fax, or phone. Pick the method that you can complete accurately and keep a record of when you submitted it.
You can create an account to start and save an application, upload requested documents, check status, report changes, renew benefits, and manage your case. Texas also permits applying online without an account, but an account provides more case-management features.
Texas policy allows a person or authorized representative to complete a Medicaid application by phone. The customer care representative enters the information and the applicant can sign by telephone under the state process.
For Medicaid for elderly people and people with disabilities, Texas uses Form H1200 and, for certain community-based and Medicare cost-sharing programs, Form H1200-EZ can be available. A paper application must be signed.
Texas accepts applications through HHSC benefits offices and by mail or fax. Keep copies of the application and supporting documents you submit.
Texas uses the application file date in its eligibility process. For an online application, the file date is tied to when you submit it through Your Texas Benefits, subject to HHSC business-day rules for submissions received while state offices are closed.
Before you apply
Your Texas Benefits tells applicants to be ready with information about the people applying, income, property, and other eligibility facts.
Be ready with names, dates of birth, Social Security numbers when applicable, household relationships, address, and citizenship or immigration information requested by the program.
Gather information about Social Security, pensions, wages, bank accounts, property, vehicles, investments, and other income or resources that apply to the Medicaid category being reviewed.
Keep records for expenses, insurance, medical costs, and other items HHSC asks you to verify. The exact documentation depends on the Medicaid program and your circumstances.
Texas Medicaid includes multiple eligibility categories with different rules. Age, disability, household, income, resources, long-term-care needs, and other factors can change which program HHSC evaluates.
If you also have Medicare
Some people qualify for both Medicare and Medicaid. The level of Medicaid assistance matters because not every Medicaid or Medicare Savings Program category provides the same benefits.
QMB, SLMB, QI, and QDWI are Medicaid-administered assistance programs that can help with Medicare premiums or cost-sharing when their rules are met.
People who receive Medicaid or certain Medicare Savings Programs can qualify automatically for Medicare Extra Help with prescription drug costs.
Some people with both Medicare and Medicaid can qualify for a Dual Eligible Special Needs Plan. The Medicaid category and the plan's eligibility rules determine whether a specific D-SNP is available to you.
Keep learning
These pages explain the Medicare side of Texas assistance programs.
Our four-step process
Senior Healthcare Planning does not decide Medicaid eligibility. We use the eligibility information Texas provides to help evaluate the Medicare options available to you.
Review Medicare status, current Medicaid or MSP notices, doctors, prescriptions, and care needs.
Identify which Medicare plan types match the level of assistance Texas has approved.
Verify eligibility, provider access, prescriptions, and plan rules before enrollment.
Review coverage again when Medicaid status or Medicare plan benefits change.
Preferred sources
This page uses Texas Health and Human Services Medicaid application policy, Your Texas Benefits application guidance, and current Texas forms for elderly people and people with disabilities.
Application channels, filing-date rules, Medicaid forms, and eligibility administration.
Texas online application, document upload, status, renewal, and case-management functions.
We can help you review Medicare coverage using the assistance level Texas has approved.
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