General Requirements for Medicaid Eligibility in Texas

(These requirements can be found in the Texas Health and 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 $115,920.00 in assets) - click on The Asset Test for more information
• Monthly gross income must not exceed the State Income Standard (currently $2,130.00 as of January 2013) - 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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