2200, Household

Revision 20-0; Effective November 2019

2210 General Principles

Revision 20-0; Effective November 2019

A County Indigent Health Care Program (CIHCP) household is a person living alone, or two or more persons living together, where legal responsibility for support exists, excluding disqualified persons.

Legal responsibility for support exists between:

  • Persons who are legally married, (including common-law marriage);
  • A legal parent and a minor child, (including unborn children); or
  • A managing conservator and a minor child.

Medicaid is the only program that disqualifies a person from CIHCP.

2220 Definitions

Revision 20-0; Effective November 2019

Adult – A person at least age 18 or a younger person who is or has been married or had the disabilities of minority removed for general purposes.  

Common Law Marriage – A relationship in which the parties age 18 or older are free to marry, live together and hold out to the public that they are spouses. A minor child in Texas is not legally allowed to enter a common law marriage unless the claim of common law marriage began before Sept. 1, 1997.

Emancipated Minor – A person under age 18 who has been married. The marriage must not have been annulled.

Managing Conservator – A person designated by a court to have daily responsibility for a child.

Married Minor – An individual, age 14-17, who is married. These individuals must have parental consent or court permission. An individual under age 18 may not be a party to an informal (common law) marriage.

Minor Child – A person under age 18 who is not, or has not been, married and has not had the disabilities of minority removed for general purposes.

2230 CIHCP Household

Revision 20-0; Effective November 2019

The CIHCP household is a person living alone, or two or more persons living together, where legal responsibility for support exists, excluding disqualified persons.

Disqualified Persons

  • A person who receives or is categorically eligible to receive Medicaid;
  • A person who receives SSI benefits; or
  • A person who receives Qualified Medicare Beneficiary (QMB), Medicaid Qualified Medicare Beneficiary (MQMB), Specified Low-Income Medicare Beneficiary (SLMB), Qualified Individual-1 (QI-1), or Qualified Disabled and Working Individual (QDWI) and a Medicaid recipient who partially exhausts some component of his Medicaid benefits.

A disqualified person is not a CIHCP household member regardless of his legal responsibility for support.

CIHCP One-Person Household

  • A person living alone;
  • An adult living with others who are not legally responsible for the adult’s support;
  • A minor child living alone or with others who are not legally responsible for the child’s support;
  • A Medicaid ineligible spouse;
  • A Medicaid ineligible parent whose spouse and/or minor children are Medicaid eligible;
  • A Medicaid ineligible foster child; and
  • An inmate in a county jail.

CIHCP Group Households

Two or more persons who are living together and meet one of the following descriptions:

  • Two persons legally married to each other;
  • One or both legal parents and their legal minor children;
  • A managing conservator and a minor child and the conservator’s spouse and other legal minor children, if any;
  • Minor children, including unborn children, who are siblings; and
  • Both Medicaid ineligible parents of Medicaid eligible children.

2240 Screening Tools

Revision 20-0; Effective November 2019

Your Texas Benefits at http://www.yourtexasbenefits.com screens for potential eligibility for Medicaid and other programs provided by Texas state agencies.

The Benefit Eligibility Screening Tool (BEST) at http://www.ssabest.benefits.gov screens for potential eligibility for benefits from any of the programs that Social Security administers.  

2250 Verifying Household

Revision 20-0; Effective November 2019

Verify household, if questionable. Proof may include, but is not limited to:

  • Lease agreement; or
  • Statement from a landlord, neighbor or other reliable source.

2260 Documenting Household

Revision 20-0; Effective November 2019

On Form 3065, Worksheet, document why information regarding household is questionable and how questionable household is verified.