Form h3038 p 2025

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Healthcare Family SizeChildrens MedicaidCHIP 3 $2,559 $3,858 4 $3,083 $4,649 5 $3,607 $5,439 6 $4,132 $6,2304 more rows Feb 18, 2022
CHIP perinatal coverage provides care to unborn children of pregnant women who are not eligible for Medicaid and who have a household income up to 202% of the federal poverty income level (FPIL) . Once born, the child will receive Medicaid or CHIP benefits, depending on their income.
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.
CHIP is a health care program for children without health insurance whose families earn too much to get Medicaid but cannot afford health insurance. To get Childrens Medicaid or CHIP, a child must be: 18 years old or younger. (In some cases, children with disabilities who are 19 or 20 years old can get Medicaid.)
Under 19 years of age. Uninsured (determined ineligible for Medicaid, and not covered through a group health plan or creditable health insurance) U.S. citizens or meet immigration requirements. Residents of the state.

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To qualify for CHIP Perinatal, you must be a Texas resident and a U.S. citizen or qualified non-citizen. If you have other health insurance, you are not eligible for the CHIP Perinatal program.

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