Medicaid

Options for receiving Texas Medicaid for an individual with a disability

Options to access Texas Medicaid
Children – under 17 years old

Income level Asset level Program
Low family income
(For SSI, house size 3 <$3801; house size 4, <$4169; house size 5, <$4537)
For SSI, assets less than $5000 (including money in bank accounts, life insurance, etc; excluding 1 car and home if you live in it) Qualify for  Children’s Medicaid through HHSC, which might come with TANF => STAR Medicaid

Qualify for Social Security SSI, which comes with Medicaid as a benefit => StarKids Medicaid

Middle family income
(For MBIC, house size 3, <$5039; house size 4, <$6074; house size 5, <$7109)
No limit Medicaid Buy-In for Children through HHSC => StarKids Medicaid
High family income, but no or low individual income No family limit; individual assets less than $2000 Medicaid Waivers => StarKids Medicaid

Options to access Texas Medicaid
Adults – over 18 years

Income level Asset level Program
Low individual income (less than $1590/month) Individual+spouse assets less than $2000 (including money in bank accounts, life insurance, etc; excluding 1 car and home if you live in it) Qualify for Social Security SSI, which comes with Medicaid as a benefit
=>StarKids from 18-20 years
=>Star+Plus 21+ years
Middle individual income

For Medicaid waiver: Individual+spouse asset less than $2000

For Medicare Savings Program:

Medicaid Waivers

Medicare Savings Program

High individual income (between $363-$5111/month) Individual asset less than $5000 (spouse not considered) Medicaid Buy In for Adults
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2 Responses to Medicaid

  1. Jennifer says:

    I have a 12 year old deaf autisic son that was once was getting Ssi and medicaid now he is not because I got married. It is not my son dad and we also have a new baby that is almost 1. I want to know if he is able to get insurance through medicaid again for secondary to help out with his therapy that we do and want to do more of. I looked into the buy in they said we couldn’t. We were on the list for the one that looks only at him and not our income but when he lost medicaid he got bumped from the list. What can o do to get a wavier for him. Any help would be appreciated 🙂
    Thanks so much

    Like

    • Heather says:

      You should still be on the Interest List for each Medicaid Waiver, even if you lose Medicaid from SSI.

      Unfortunately, if you make too much money for the Medicaid Buy-In for Children, both remaining options will take some time:
      1. Come to the top of one of the Interest Lists for Medicaid Waiver
      2. When your child is 18 yrs old, you will be able to apply for SSI & that comes with Medicaid.

      Like

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