N-1200, Program Overview

Revision 22-3; Effective September 1, 2022

The Medicaid Buy-In for Children (MBIC) program is a Medicaid program for children with disabilities up to 19 years old with family income up to 300% of the federal poverty level (FPL). A family may have to pay a monthly premium as a condition of eligibility. The amount of the premium is based on the family’s income and if a child is covered under a parent's employer-sponsored health insurance plan.

MBIC recipients receive regular Medicaid benefits, a Medicaid ID card and an MBIC member handbook. The handbook is a guide that provides basic information about MBIC and explains what to do if a person has questions or needs help while on the program.

All regular Medicaid for the Elderly and People with Disabilities (MEPD) policies apply to this program except for the eligibility items specifically identified in this chapter. For example, citizenship and Texas residency are not addressed in this chapter. Therefore, follow regular MEPD policies for citizenship and Texas residency.

All eligibility requirements for this program must be verified. MBIC is not a client-declaration program.