To qualify for Medicaid in Texas there are 5 qualifications. You must:
1. be a U.S. citizen or qualified alien
2. be a resident of Texas
3. meet the medical necessity test
4. meet the resource test requirements;
5. have less than $2,022.00 income.
1
Citizenship & Residence
Gather proof of citizenship: Passport; Certificate of Naturalization, Certificate of Citizenship, Birth Certificate, U.S. Military document showing place of birth. There are other documents that can be used. Gather also documents showing you have been present in Texas, utility bills, deed for homestead, tax records.
2
Medical Necessity Test
Necessity for care by a Registered Nurse of Licensed Vocational Nurse due to medical disease or injury on a regular basis. This is a detailed determination that requires medical education. This determination is usually made by the Director of Nursing of the facility and then confirmed by a doctor and nurse employed by Texas Healthcare & Medical Partnership as contracted for by HHSC.
3
Income and Resources
An applicant can have no more than $2,000.00 in "countable" resources if single or $3,000.00 if both spouses in NH. Many common assets are not countable: homestead, furniture and furnishings, a vehicle used at least four times a year for transportation to a medical appointment, a burial plot, and/or burial policy. This list is NOT complete.
An applicant can have no more than $2,022.00 in income. A person whose income is too high can qualify by use of a Qualifying Income Trust, often called a Miller Trust.
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