1. HOW TO APPLY TO
MEDICAID
Click to à button below

2. Should I apply?
• Check 1: Check Income Limits
• Check 2: Fill out an Online Government Preliminary
Survey
•
Information you will need for Survey:
• Money in cash and bank accounts
• Money from jobs and training
• Government benefits you get now or
have gotten in the past (Medicaid,
Social Security, Veteran's benefits)
• How much you spend on rent, house
payments, and utilities
• How much you spend for adult and
child care
• Your medical facts

3. What Do I Need to Apply?
Copies of Information Needed to Apply to Medicaid
*Need Copies of Both Sides of Documents
*Only Need Information Applicable to You
ü
ü Proof of Identity
•
Current Driver's License or Department of Public
Safety ID
ü Proof of Citizenship
•
•
U.S. passport, Certificate of Naturalization, U.S.
birth certificate, hospital record of birth, or
Medicare card
If born in TX: they may be able to look up birth
record
ü Immigration Status
•
Resident card (I-551), Arrival/departure form (I-94),
or Papers from U.S. Citizenship and Immigration
Services
ü
ü
ü Legal Representative
•
Power of attorney paper, guardianship order, court
order, or similar court documents
ü Social Security, pension, veterans benefits,
Supplemental Security Income (SSI), workers’
compensation, unemployment, or other
government benefits
•
Award letter or pay stubs
ü Child support paid
•
Divorce decree, court order, or district clerk record
showing how much is paid
ü Child support received
•
District clerk record or letter from the parent who
pays showing how much, how often, and date
usually paid; letter must have name , address,
phone number, and signature of the parent who
pays
ü
ü
Loans, repayments, and gifts (includes
someone paying bills for you)
•
Loan agreement or statement from the
person giving you money or paying your
bills.
•
Must be dated and show that person's
name, address, phone number, and
signature
Military service
•
Current Military ID (Form DD-2), military
orders, or separation papers (Form
DD-214)
Veterans benefits, workers' compensation, or
unemployment Award letter or pay stubs
Proof of income from your job
•
Last 3 pay stubs or paychecks, a
statement from your employer, or selfemployment record
Bank account
•
Most current statement from all account
Medical costs
•
Bills or statements from health care
providers from the past 3 months, only if
unpaid
•
Dependent care expenses receipts,
canceled checks, or signed statement
from person you pay; signed statement
must show when and how much you pay

4. How Do I Apply?
• Option 1: Online
• Step 1: Make an online account:
• Step 2: Follow online tutorial.

5. How Do I Apply?
Option 3: Mail-in Option
• Step 1: Print out the form:
• English:
• Spanish:
• OR: Call toll-free 2-1-1 (or 1-877-541-7905) to get a form mailed to
you.
• Step 2: Make copies of Information Needed to Apply to
Medicaid
• Step 3: Mail to: HHSC, PO Box 14600, Midland, TX
79711-4600

6. How Do I Apply?
• Option 3: In-Person
• See if there is an office near you:
• Step 1: Call toll-free 2-1-1 (or 1-877-541-7905) to schedule an
appointment.
• Step 2: Bring copies of information needed to apply to Medicaid.