Revision 19-4; Effective December 1, 2019
When a person is certified for ongoing Medicaid benefits, a Your Texas Benefits Medicaid card is mailed, which should:
- be carried and protected like a driver license or credit card; and
- used when visiting a Medicaid provider (i.e., doctor, dentist, or pharmacy).
The Your Texas Benefits Medicaid card is plastic, like a driver’s license or credit card, and includes the following information printed on the front:
- person’s name and Medicaid ID number;
- managed care program name (if STAR Health);
- date the card was issued; and
- billing information for pharmacies.
The back of the card includes the statewide toll-free phone number where people can get more information on the Your Texas Benefits Medicaid card.
Each person certified for Medicaid in a household receives a Your Texas Benefits Medicaid card. It is intended to be the person’s permanent card.
If a person loses:
- Medicaid coverage but later regains coverage, the person can use the same Your Texas Benefits Medicaid card.
- Their Your Texas Benefits Medicaid card, they can request a replacement:
- By logging onto their YourTexasBenefits.com account;
- Calling 2-1-1 (after selecting language, select Option 2, and then Option 1); or
- Calling 855-827-3748.
If the person forgets their Your Texas Benefits Medicaid card, a provider (i.e., doctor, dentist or pharmacy can) verify Medicaid coverage by:
- calling the Texas Medicaid and Healthcare Partnership’s (TMHP) Contact Center at 800-925-9126; or
- visiting Texas Medicaid and Healthcare Partnership’s (TMHP's) TexMedConnect website using the person’s Medicaid ID number or one of the following combinations for the person:
- Social Security Number (SSN) and last name;
- SSN and date of birth (DOB); or
- last name, first name, and DOB.
If a person needs quick proof of eligibility they can:
- log in to their www.YourTexasBenefits.com account to print a temporary card; or
- go to a local benefits office to request a card. Staff in the office will:
- assist the person in accessing and printing a Medicaid card from the person’s www.YourTexasBenefits.com account from the office’s lobby computer; or
- generate a temporary Form H1027, Medicaid Eligibility Verification via TIERS if the person prefers not to or has trouble accessing their Medicaid card online.
A Your Texas Benefits Medicaid card is not issued for residents of a state supported living center because Medicaid state institutions are responsible for all medical care for Medicaid-eligible residents. Each state institution is sent a monthly listing of all Medicaid individuals currently shown on computer files as living in that facility.
Note: A Your Texas Benefits Medicaid card is not issued to Community Attendant Services (CAS) recipients. A person with CAS receives a Your Texas Benefits Medicaid card only if they are also eligible for the Qualified Medicare Beneficiary Program (QMB). No other Medicare Savings Program (MSP) generates a Medicaid card.
Issuance of Form H1027, Medicaid Eligibility Verification, R-2400