An official State of Texas website.
Revision 25-1; Effective Feb. 24, 2025
For a person to receive epilepsy services with HHSC funds, four criteria must be met:
- diagnosis of epilepsy certified by a licensed physician or a statement that the applicant is suspected of having epilepsy;
- gross household income is at or below 200% of Federal Poverty Level (FPL);
- applicant is a Texas resident and is not incarcerated, a ward of the state or a Medicaid-eligible nursing home recipient; and
- applicant is not eligible for other programs or benefits that provide the same services, such as Medicaid, Medicare or Children with Special Health Care Needs (CSHCN).
If a person is younger than 21 and on a waiting list for CSHCN, they can receive epilepsy services until removed from the waiting list. If an applicant meets all eligibility requirements except the financial criteria, the applicant is eligible only for support services.
Eligibility determinations for the Epilepsy Program can be made with interviews over the phone for new applicants and to re-certify current clients. Phone interviews for eligibility determinations must comply with all eligibility guidelines outlined in program policy.
Instead of a client’s signature on the application in the Acknowledgment section of the Application for Program Benefits or on the Statement of Applicant’s Rights and Responsibilities (PDF), the eligibility staff person must read the statements to the applicant and document that the applicant affirms the statements. The document must include the date and time of the applicant’s affirmation and the eligibility staff person’s signature. The client must sign the document at their next visit to the clinic.