Section 5000, State Assistance Funds


Revision 20-0; Effective November 2019


5100 General Principles

Revision 20-0; Effective November 2019


Based on an annual allocation, subject to funding, HHSC distributes state assistance funds to counties not fully served by a public hospital or hospital district. To receive state assistance funds, a county must comply with the HHSC-established standards and procedures contained in this handbook.

Expenditures are reimbursable if they are paid:

  • for CIHCP eligible county residents;
  • for CIHCP basic or department-approved optional health care services; and
  • according to the CIHCP payment standards.

Reimbursable expenditures must be paid in the state fiscal year for which state assistance funds are being requested.

The county is eligible for state assistance funds when it exceeds the 8% General Revenue Tax Levy (GRTL) expenditure level.


5200 Steps for Applying

Revision 20-0; Effective November 2019




5210 Steps for Applying for State Assistance Funds

Revision 20-0; Effective November 2019


Step 1 – Submit Form 3072, Monthly Financial Report, to be received by the HHSC County Indigent Health Care Program (CIHCP) by the 10th day of the month following the report month. Form 3072 must have been submitted for each of the 12 months prior to the month state assistance funds are requested. Submit Form 3086, End of Year Report, to HHSC CIHCG in Austin by September 30.

Step 2 – Report the county’s General Revenue Tax Levy (GRTL) to the Texas State Comptroller of Public Accounts.

Step 3 – Notify Texas Health and Human Services Commission (HHSC) CIHCP by email within seven days after the date that the county will expend 6% of its GRTL and follow up with a written notification.

6% Program Review. Upon receiving written notification that a county has expended 6% of its GRTL, HHSC may complete a review of the county's eligibility system and billing and provide the county with a written report on the findings of the review. If deficiencies are identified, the county must correct them within five workdays from the date the deficiencies are identified. The county must subtract any uncorrectable deficiencies from reimbursable expenditures.

Step 4 – Request state assistance funds when the county exceeds the 8% GRTL expenditure level. Compute the dollar amount that will be paid when the court authorizes payment. Request 90% of that amount from HHSC.

Contact HHSC by telephone or email to request state assistance funds prior to the Commissioner’s Court authorizing payment of the health care claims. HHSC will provide the county with a State Assistance Request number. Complete and submit to HHSC Form 3088, Request for State Assistance Funds (90 Percent), and supporting documentation within 30 days after the request.