Medicaid Eligibility

Eligibility guidelines for Medicaid benefits are set by the Health and Human Services Commission.

Eligibility is determined by several factors including your income, the value of assets you hold and other financial information.

Even if you do not yet qualify what you do today can affect when you are able to qualify in the future.

Legislation passed in 1993 made many changes in the eligibility guidelines developed by the Health Care Finance Administration.

Special trusts can now be used to allow individuals with incomes over the normal limits to qualify for Medicaid benefits.

Eligibility (Medicaid) in Texas Law

Government Code


pertaining to managed-care, education programs, planning and delivery of health and human services, child health plan, eligibility determinations, long-term care insurance awareness and education campaign, electronic data matching program, fraud detection technology, compliance with law prohibiting solicitation, search for parent or guardian of a child, considerations in awarding contracts demonstration project to extend medicaid coverage, low income patients

Health & Safety Code


pertaining to eligibility screening and enrollment, waiting period, crowd out, unreimbursed costs, government-sponsored indigent health care

Human Resource Code


pertaining to eligibility requirements, certification of eligibility, need for medical assistance, federal funding for certain children, services for children with visual impairments, medicaid benefits, informal caregiver services

Insurance Code


pertaining to enrollment required, coverage for certain dependent children of employees

Medicaid In The News
North Carolina lawmakers give final OK to Medicaid expansion agreement, reversing longstanding Republican oppositionABC NEWS US HEADLINES03/23/2023
NC approves Medicaid expansion, reversing long oppositionABC NEWS: TOP STORIES03/23/2023
North Carolina lawmakers nearing final Medicaid expansion OKABC NEWS US HEADLINES03/22/2023
Mississippi governor OKs longer postpartum Medicaid coverageABC NEWS US HEADLINES03/16/2023
Why Medicare is suddenly under debate againNPR TOP HEADLINES03/14/2023
In Texas, Medicaid ends soon after childbirth. Will lawmakers allow more time?NPR TOP HEADLINES03/05/2023
Texas considers extending Medicaid access after birth to make having a baby saferNPR NEWS03/02/2023
This group gets left-leaning policies passed in red states. How? Ballot measuresNPR BUSINESS02/24/2023
Biden to warn that Republicans in Congress will 'undermine' Medicare, Social SecurityABC NEWS: TOP STORIES02/09/2023
If Medicare or Social Security won't see cuts, what does that mean Medicaid?NPR NEWS02/08/2023
Oregon AG: $17M Settlement Reached With Centene Over Inflated Medicaid CostsLAW NEWSWIRE12/19/2022
Medicare Overpaid Maryland Company Nearly $1M, Federal Judge RulesLAW NEWSWIRE10/24/2022
Centene to Pay $19M for Overcharging Health Care Costs in Washington State's 2nd Largest Medicaid Fraud RecoveryLAW NEWSWIRE08/29/2022
Democrats may make some progress toward lowering high drug pricesNPR BUSINESS08/04/2022
Democrats may make some progress toward reducing high drug pricesNPR BUSINESS08/04/2022

John Q. Lawyer

Attorney at Law

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