General Requirements for Medicaid Eligibility in Texas

(These requirements can be found in Sections 2200-2400 of the Department of Human Services Medicaid Eligibility Handbook)

In order to qualify for Medicaid ICP Benefits in Texas, the individual must meet the following criteria:

• 65 years of age or blind or disabled
• U.S. citizen or a qualified alien
• Texas Resident
• Asset limit of $2,000.00 (the community spouse, also called the at-home spouse, may keep ½ up to $104,400.00 in assets) - click on The Asset Test for more information
• Monthly gross income must not exceed the State Income Standard (currently $1,911.00 as of January 2008) - click on The Income Test for more information
• Appropriate placement - The individual must require institutional care as determined by the state, and they must be placed in a Medicaid certified facility that provides the required level of care
• The Medicaid program, in most cases, does not pay the entire cost of a person's nursing home expenses. The person must contribute an amount based on his/her monthly income (Patient Responsibility), and Medicaid pays the nursing home the approved rate for the facility.

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