HHSC Quick Resource Guide - Texas Health and Human Services ...

Agency/
Program
Medicaid for Adults
on TANF
Medicaid for
Children on SSI
(Disability-Related)
Medicaid for Adults
on SSI (Disability-
Related)
Medicaid for
women with breast
and cervical cancer
Medicare Savings
Program
Medicaid for
Transitioning Foster
Care Youth
Former Foster Care
in Higher Education
Women’s Health
Program
STAR Health
Program for
Children in Foster
Care
Medicaid Buy-in
Program
Family Violence
Program (FVP)
Description
People whose family income and resources
meet TANF requirements. The household has
to apply for Medicaid.
In Texas, all persons eligible for SSI are also
eligible for Medicaid.
In Texas, all persons eligible for SSI are also
eligible for Medicaid.
Provides full Medicaid coverage for the
duration of breast and cervical cancer
treatment for women who have been
diagnosed with breast or cervical cancer.
Beneficiaries in these programs receive
assistance with Medicare premium and cost
sharing payments through the Medicaid
program. Persons that qualify for these
programs do not have to pay Medicare Part D
premiums or deductibles. Please see
additional information column for the types of
Medicare savings programs, including QMB,
SLMB, and QI.
Determines continued medical assistance to
persons transitioning from foster care to
independent living.
Health care benefits for former foster care
youth enrolled in an institution of higher
education located in Texas.
Provides low-income women with
gynecological exams, related health
screenings and birth control through Texas
Medicaid.
Provides coordinated medical and behavioral
care for children in foster care no matter where
they are in the state or how often they move.
Allows people of any age that have a disability
and are working to receive Medicaid by paying
a monthly premium. The monthly premium is
based on earned and unearned income.
Provides emergency shelter and support
services to victims and their children, educates
the public, and provides training and
information to various public and private
Ages Served
Children (ages 0-18)
Children (ages 0-18)
All eligible adults
Max. Monthly
Income
maximum monthly
income is $188 per
month.
For a family of
three (one parent
and two children),
maximum monthly
income is $188 per
month.
$674 per month, as
per SSI
requirements.
$674 per month, as
per SSI
requirements.
Resource
Limit
Assets limit of
$2,000, as per SSI
requirements.
Assets limit of
$2,000, as per SSI
requirements.
Is
Citizenship
or Legal
Permanent
Residency
Required?
*1
Women age 18 to 64. Up to 200% FPIL N/A Yes* Yes
People ages 65 or older,
or people under 65 with
certain disabilities.
Former foster care
children ages 18 through
the month of the 21st
birthday.
Former foster care youth
ages 21 through the
month of the 23 rd
birthday.
Women ages 18 to 44
can apply from the
month of their 18th
birthday through the
month of their 45th
birthday.
All children in the Texas
Foster Care System.
People of any age who
have a disability and are
employed.
Adult victims and their
children.
QMB: Up to 100%
FPIL.
SLMB: Up to 120%
FPIL.
QI: Up to 135%
FPIL.
Household of one,
income up to 400%
FPIL.
$4,000 for
individual, and
$6,000 for couple.
Must not exceed
$10,000 of
countable
resources.
Must not exceed
$10,000 of
countable
resources.
Yes*
Yes*
Are the
persons
applying,
required to
live in
Texas?
Yes
Yes
Important Additional Variable
Yes Yes Qualified Medicare Beneficiaries (QMB): Medicaid pays
all Medicare Part A and B premiums, deductibles, and
coinsurance.
Specified Low- Income Medicare Beneficiaries (SLMB):
Medicaid pays only Part B premiums.
Qualified Individuals (QI): Medicaid pays only Part B
premiums, and disqualifies the individual for all other
Medicaid programs.
Yes Yes Must be in foster care at age 18, and have no other
health care coverage.
Household of one,
Yes Yes Must be in foster care at age 18,
income up to 400%
Have no other health care coverage,
FPIL.
Be enrolled in an institution of higher education located in
Texas.
Up to 185% FPIL N/A Yes Yes For more information, please call the Women’s Health
Program toll free at 1-866-993-9972.
Contact 2-1-1 to find local women’s health care
providers.
N/A N/A Yes Yes Children in the foster care system will automatically be
enrolled in the STAR Health Program. Services to
children in foster care will be provided through a contract
with Superior Health Plan Network.
To be eligible for
the Medicaid Buy-
In program, a
person’s countable
earned income
must be less than
$2,128 a month for
2007, which is
250% of the FPIL.
All earned income
is countable;
however, there are
exceptions.
A person’s
countable
resources must be
equal to or less
than the
Supplemental
Security Income
resource limit of
$2,000.
Yes Yes You can apply for the Medicaid Buy-In program the same way you
apply for other Medicaid benefits. Contact 2-1-1 for local office
information or visit www.211.org.
N/A N/A No No Services for the FVP are through contracted
organizations at the local level. Eligibility is based on
self-declaration as a victim of family violence, and is
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