Get Application Forms For Preinatal Chip Form

Make and document an eligibility decision on an application as soon as all required verification is received. Time frame for eligibility determination: Make an eligibility decision within 45 days on applications from applicants 65 years or older.

Complete Form H3038 to verify a nonimmigrant, an undocumented alien or a certain legal permanent resident, who does not meet citizenship or alien status requirements, was treated for an emergency medical condition.

Form H3038-P is used to apply for Emergency Medicaid to cover labor and delivery charges.

Who is eligible? Unborn children of pregnant women who: Have a household income greater than 198 percent of the federal poverty level (FPL) and at or below 202 percent of the FPL. Have a household income at or below 202 percent of the FPL, but do not qualify for Medicaid because of immigration status.

It can take up to 45 days for HHSC to work on your application. To find out what's happening with your application, call 2-1-1.

Medicaid provides health coverage to low-income pregnant women during pregnancy and up to two months after the birth of the baby. CHIP Perinatal provides similar coverage for women who can't get Medicaid and don't have health insurance. To get Medicaid for Pregnant Women or CHIP Perinatal, you must be a Texas resident.

Entities complete Form 3684 to apply for enrollment in Texas Medicaid and existing providers to re-enroll in Texas Medicaid.

Texas Medicaid pays for Medicaid-reimbursable services provided out-of-state if the: recipient needs services because of a medical emergency documented by the attending physician or other provider; recipient's health could be jeopardized by not obtaining services; and. provider enrolls in the Texas Medicaid Program.