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orientation). Recipients of Supplemental Security Income (SSI) automatically receive Medicaidand do not have to apply. 106 There are no monthly premiums or copays in Medicaid. SeeFigure 1 for a chart showing various eligibility groups and the monthly income cut-offs to qualifyfor Medicaid in 2004.Figure 1. Medicaid Eligibility in Texas, 2004Maximum Monthly Countable Income Limit (Family of Three)Source: Texas Health and Human Services Commission, Texas Medicaid in Perspective, 5th ed. (2004, p. 4-5),available at http://www.hhsc.state.tx.us/medicaid/reports/PB5/PinkBookTOC.html, accessed March 22, 2005.Notes: “Countable income” is gross income adjusted for allowable deductions, typically work-related. SSI does notcertify families of three, SSI certifies only individuals and couples. SSI is not tied to the Federal Poverty Level,but is based on the FBR, as indicated above.Texas Medicaid provides all of the mandatory services listed previously per federal law, andalso provides 36 optional services, 21 of these to all enrollees, and the rest to only children orthe elderly. 107 See Table 5 for more details on the number of people and average costs of eacheligibility group.B-22