A-3000, Optional Coverage Groups

Revision 22-3; Effective September 1, 2022

HHSC also provides Medicaid for adults 65 and older and people with disabilities who fall into an optional coverage group. Although federal regulations may allow other optional coverage groups, HHSC only provides benefits to a person who is a member of one of the following optional coverage groups included in the Texas Medicaid State Plan.

  • SSI denied Due to Entry into a Long-Term Care Facility
  • Special Income Limit
  • Home and Community-Based Services Waiver Programs
  • Medicaid Buy-In for Children
  • Medicaid Buy-In

Related Policy

SSI Denied Due to Entry into a Long-Term Care Facility, A-3100
Special Income Limit, A-3200
Home and Community-Based Services Waiver Programs, A-3300
Application for Waiver Programs, O-1100
Medicaid Buy-In for Children, A-3400
Program Overview, N-1200
Medicaid Buy-In, A-3500
Program Overview, M-1200