Chapter 3: Eligibility

Texas Health and Human Services Commission February 2017 31 Chapter 3: Eligibility33 Part II. ClientsChapter 3: EligibilityEligibility BasicsMedicaid-eligible individuals include those eligible for coverage of acute care services, behavioral health care services, prescription drugs, and long-term services and supports (LTSS). medicaid -eligible individuals also include those eligible for time-limited or specific services. The four primary categories of medicaid -eligible individuals who may receive full benefits are: Children, pregnant women, and parent and caretaker relatives; SSI recipients; People age 65 and older and those with disabilities; and Former foster care This Chapter : Eligibility BasicsEligibility Determination ProcessFinancial EligibilityNon-Financial Eligibility RequirementsChildren, Pregnant Women, and Parents and Caretaker RelativesChildren s MedicaidPregnant WomenParents and Caretaker RelativesMedically Needy with Spend DownPeople Age 65 and Older and Those with DisabilitiesSupplemental Security Income RecipientsMedicaid for the Aged, Blind, and DisabledIndividuals Eligible for Medicare and MedicaidMedicaid Buy-In ProgramsAdditional medicaid Eligibility PathwaysMedicaid for Breast and Cervical Cancer ProgramIncarcerated IndividualsEmergency MedicaidFormer Foster Care YouthCHIP and

Medicaid eligibility. Persons applying for programs not subject to the MAGI methodology, including programs for people age 65 and older, those with disabilities, and SSI recipients, may receive one or more of the following income disregards: • $20 disregard – The first $20 of

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