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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.
Texas Medicaid does not make payments to clients. Federal regulations prohibit providers from charging clients a fee for completing or filing Medicaid claim forms. Providers are not allowed to charge TMHP for filing claims. The cost of claims filing is part of the usual and customary rate for doing business.
Income Asset Limits for Eligibility 2023 Texas Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleMarried (both spouses applying)Income LimitAsset LimitInstitutional / Nursing Home Medicaid$2,742 / month*$3,000Medicaid Waivers / Home and Community Based Services$2,742 / month$3,0001 more row Jan 11, 2023
The person may apply with HHSC for coverage for the two preceding months if there are unpaid or reimbursable medical bills and the person meets all Medicaid eligibility requirements in those months.
The person may apply with HHSC for coverage for the two preceding months if there are unpaid or reimbursable medical bills and the person meets all Medicaid eligibility requirements in those months.

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Mail: HHSC, PO Box 149024, Austin, TX 78714-9968. Fax: 1-877-447-2839.
Call 800-925-9126, Option 1 to check claim status, client eligibility, benefit limitations, current weekly payment amount, and claim appeals. Eligibility and claim status information is available 23 hours a day, 7 days a week, with scheduled down time between 3 a.m. and 4 a.m., Central Time.
A person may be eligible for Medicaid coverage for up to three months prior to the month of application. Prior coverage may be continuous or there may be interrupted periods of eligibility.

prior medicaid