Medicaid Buy-In for Children

The Medicaid Buy-In for Children (MBIC) program offers low-cost Medicaid services to children with disabilities whose families make too much money to get Medicaid.

Your child might be able to get MBIC if they:

  • Are 18 years old or younger;
  • Have a disability; and
  • Are a U.S. citizen or a qualified non-citizen living in Texas.

You can apply for MBIC:

You can also complete this application form and submit it:

Services Covered by MBIC

MBIC covers the same services as Medicaid. This includes but is not limited to:

  • Regular checkups at the doctor and dentist.
  • Medicine and vaccines.
  • Hospital care and services.
  • X-rays and lab tests.
  • Vision and hearing care.
  • Access to medical specialists and mental health care.
  • Treatment of special health needs and pre-existing conditions.

MBIC also covers long-term services and supports, including:

  • Home care and personal care, such as help monitoring your child's health and assisting them with daily activities.
  • Having somebody take your child to their medical appointments.
  • Nursing home care.
  • Care in a hospital for mental illnesses.
  • Care in a place of care for people with intellectual disabilities.

Income Guidelines for MBIC

Your income is the money you receive before taxes or other deductions. Find your family size on the table below. If your family’s monthly income is the same or less than the amount listed, your child might be able to get MBIC.

Family Members (Adults plus children)

Monthly Family Income

1*

$3,765

2

$5,110

3

$6,455

4

$7,800

For each additional person, add:

$1,345

*A family of one refers to a child who does not live with a parent or other relative.

How Much Does It Cost?

If your child can get MBIC, you might have to make a monthly payment. The monthly payment is based on:

  • Your family's income;
  • If you have health insurance through your job; and
  • If you already get help through the Health Insurance Payment Program (HIPP).

If you do not have insurance through your job, your payment could be up to $230 per month.

If you have health insurance through your job and get HIPP, your payment could be up to $70 per month.

If you have health insurance through your job and do not get HIPP, you do not have a monthly payment.