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 CIHCP Household

Revision 23-4; Effective Sept. 22, 2023

Disqualified Persons

  • A person who receives or is categorically eligible to receive Medicaid.
  • A person who receives SSI benefits.
  • 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 their Medicaid benefits.

A disqualified person is not a CIHCP household member regardless of their 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 or minor children are Medicaid eligible
  • A Medicaid ineligible foster child
  • 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
  • Both Medicaid ineligible parents of Medicaid eligible children

2230 Screening Tools

Revision 23-4; Effective Sept. 22, 2023

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 https://www.ssa.gov/prepare/check-eligibility-for-benefits screens for potential eligibility for benefits from any of the programs that Social Security administers.

2240 Verifying Household

Revision 23-4; Effective Sept. 22, 2023

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

  • lease agreement; or
  • statement from a landlord, neighbor or other reliable source.

2250 Documenting Household

Revision 23-4; Effective Sept. 22, 2023

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