Texas Medicaid Program: A Brief Overview of Medicaid in Texas

Medicaid is a Federal and State program that Texas began offering to qualified citizens in September of 1967. Both the federal and state agencies responsible match funds to provide low income individuals and families with medical coverage. Thanks to this program, people who could not normally afford to seek medical care can do so without difficulty. If you do not have health insurance and have difficulty paying your medical bills, you may qualify for Medicaid. Before applying, it helps to understand the criteria you will need to meet before being approved.

Individuals and families who receive TANF, an acronym that means Temporary Assistance for Needy Families, automatically qualify. Those who receive SSI benefits and/or Refugee Cash Assistance are also automatically eligible. Medicaid is also awarded to low income families who fall under a certain income level, as well as children under the age of 19 and pregnant women. Youths who are in foster care and aging out of their facility, certain senior citizens who require nursing home care and disabled individuals may also qualify for coverage.

For each specific group listed above, there are different requirements for eligibility. To find out more about the requirements and the application process, contact your local Department of Social Services. When you apply for Medicaid, you will be assigned a case worker who will handle your case and answer all your questions. If you are approved, you will receive a card which you will present when obtaining medical care or prescription medication. Some individuals will be subject to a co-payment, which means you need will pay a small amount of money. Co-payments are usually very reasonable.

One of the best things about Medicaid is that it covers a wide range of things. In addition to acute medical care, you will receive coverage for checkups and certain diagnostic tests. Dental and vision are also covered, as well as certain mental health services. Various types of necessary medical equipment may be covered under Medicaid as well. Your case worker can inform you regarding exactly what is covered under your Medicaid plan.

9 Responses to Texas Medicaid Program: A Brief Overview of Medicaid in Texas

  • ANETA CHOLEWA says:

    i’m interested medicaid programs for pregnant woman.

  • Tami Quinn says:

    This new cost containment the state is doing now with EVERCARE stinks.There are no available dotors to write the prescritions that my mother needs for her back and also her Urologic Surgoen does not take EVERCARE !!!!! So now what does my mother do if her kidney fails and something GOD aweful HAPPENS???? What will the STATE DO THEN??? I know then they will go back to the way it should be and people will not have a hard time getting the care they NEED!!!!BEFORE IT’S TO LATE!!!!!!!!!!

  • Connie Gonzalez LVN says:

    Dear Sir, 2/05/09

    It would be great if you could send a list of the medications medicaid will cover. I have so many patients that have medicaid and when we prescibe them medications we need to get proir authorization before they are dispensed. We want to take care of our patients and give them proper care and treatment. It would help us to have a list of what medicaid will pay for.

    Thank you,

    Connie Gonzalez LVN

  • lucy lopez says:

    need to know if medicaide cover enlive juice
    for children my daughter needs it .

  • Tam Tran says:

    Dear Sir,

    My Dad used to live in New Orleans, La, and his state medicaid always paid for his Medicare Hospital Insurance Part A Premium.

    He recently moved to Dallas, Texas, and he currently has Texas medicaid. However, Medicare just sent him him a bill for the hospital insurance Part A premium.

    What does he need to do to have Texas medicaid pay for his Medicare Part A?

    Sincerely,

    Tam

  • Joe Tax Payer says:

    It is amazing to me the amount of waste and abuse present in the Medicaid System by the “benefactors” of this tax payer supported program. I would like to see tighter controls and enforcement on who “qualifies” for this program. People who drive new cars, have the latest cell phone technology, can work as a productive member of society but don’t, women/ men who won’t control their reproductive activities, and those people in the US illegally should not be “eligible” but they are.

    Tax Payers such as myself are becoming weary of funding these abusers. Come on State of Texas and Federal Govt get it together!! before there is a tax payer revolt. Enough is enough!!!

  • maria luisa mendez says:

    Do the elderly have dental coverage?

    When if ever will Medicaid cover dentures? This service is an absolute necessity. It is similar to receiving vaccines when the weather or age requires it.

  • Unhappy Tax Payer. says:

    I agree with Joe the tax payer. Enough is enough, even Social Security it’s going broke they are paying out more than they are getting in well DUH !!! You give it to who ever, illegals, foreigners, what do you expect. We the people that are paying in are being cheated out of our money that we worked hard for and for when we get older we are not going to get it, I just can’t understand why a Mexican women who’s husband never worked was not even a citizen did not even live in American, she never worked and paid into it lived over here on a false birth certificate the children had made in Mexico collected our SS for 20 years she lived here had money in the bank her mexican born grown adults that lived here and yes they were from Mexico too hid the money she had in their accounts and she’d live at each 10 kids house not paying anything out, so when she did die she had a lot of money saved that was our tax payers. I knew this family. How many more you think that are over here doing this. What is wrong with this system? And let me tell you in San Antonio, Austin Tx, Corpus most of the people that work for SS are Mexican. Even at the Mexican markets they
    Have a table and telling the Mexicans to come sign up for SS.

    Wow!!!! do you wonder why we are broke in SS.

  • Fed up ER nurse says:

    Joe Tax Payer took the words out of my own mouth.

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