Adult Requirements for Medicaid in Texas

Adult Medicaid in Texas is a government medical coverage program that pays all or part of the medical bills for eligible people. Medicaid covers low-income individuals and families; however, not all low-income people qualify. Age, disability, family status, income and available resources determine your eligibility.

General Eligibility Requirements

To qualify for adult Medicaid services in Texas, you must be a U.S. citizen and a resident of Texas. Your monthly income cannot exceed the current limits, determined by family size and your personal resources cannot total more than the current allowable limit. Low-income groups that may be eligible for Medicaid in Texas include people over age 65; people under age 65 who are blind or unable to work because of a severe disability that prevents seeking employment for at least one year; pregnant women; custodial parents of minor children; people receiving welfare or Temporary Assistance for Needy Families (TANF), and certain people who have aged out of foster care. Typically, adults under the age of 65 who have no dependent children and do not meet the above criteria are not eligible for Medicaid coverage.

Income Requirements

As of 2010, the monthly income limit for an individual is $903. The limit for a couple is $1,214 and the limit for a family of four is $1838. Income includes wages, rental income or royalties, Social Security benefits, Veterans benefits, child support, gifts, interest income and pensions or other retirement benefits.

Resource Limits

Resources included in determining eligibility for adult Medicaid services include cash on hand, bank accounts, retirement accounts, stocks and bonds, real estate (other than your primary residence) and cars other than your primary car. Your home, one car, jewelry, clothing and home furnishings do not count as resources that may affect eligibility.

Automatic Eligibility

If you receive Supplemental Security Income (SSI), TANF, or Refugee Cash Assistance, you are automatically eligible for adult Medicaid in Texas.

How to Apply

You can get more information on options available to you by calling 211 or 877-541-7905. The Texas Health and Human Services Commission has application forms available in both English and Spanish on their website, as well as a screening questionnaire that will help you locate additional assistance programs.

Things You'll Need

When applying for adult Medicaid services in Texas, you’ll need photo identification, such as a driver’s license or a state ID card, your Social Security card or proof of alien status, copies of your medical and life insurance policies, current statements of any income sources and your most recent bank statements