Medicaid and CHIP

Medicaid and the Children's Health Insurance Program (CHIP) help you cover medical expenses for children and people with disabilities who meet income requirements.

• Adults can qualify for Medicaid if they have disabilities, care for children, are 65 or older or take part in the Medicaid Buy-In.
• If you're an adult caring for a child, you might qualify for Medicaid.
• Children without health insurance might be able to get low-cost or free health coverage from the Children's Health Insurance Program
• Children's Medicaid covers services needed to keep kids healthy. It is for people 18 and younger and healthy who come from families with little or no money.
• Most Medicaid services (plans) in Texas and all CHIP services are delivered through providers called managed care organizations.
  • Learn more about STAR+PLUS managed care expansion.
  • Learn more about STAR+PLUS managed care expansion.
  • Learn more about the new STAR Kids program.
  • Learn about the new managed care expansion.
• The Medicaid Buy-In program offers low-cost Medicaid health care services — including community-based services and supports — to individuals with disabilities who work.
• Medicaid Buy-In for Children can help pay medical bills for children with disabilities. This program helps families who need health insurance, but make too much money to get traditional Medicaid.
• My Children's Medicaid has helpful tips to keep your little ones healthy and explains the benefits of the program.
• The Texas Pregnancy Care Network can help mothers find counseling, child care, transportation, life skills classes and more.

Resources for Providers

• Enroll as a Medicaid provider, submit fee-for-service claims, and more at Texas Medicaid and Healthcare Partnership.
• Visit the Medicaid Provider Portal at YourTexasBenefitsCard.com to verify patient eligibility, view patient program information, available health information, Texas Health Steps Alerts, view and print Medicaid ID cards, and much more. To get started, click on the 'Welcome Packet' on the homepage.
• The Vendor Drug Program (VDP) provides statewide access to covered outpatient drugs in Medicaid, CHIP, and other state programs. Over 4,900 Texas pharmacies are enrolled with VDP.
• See if you are an eligible provider for the Electronic Health Records Incentive Program.