Medicaid
Texas Medicaid eligibility
Texas has not expanded Medicaid to all low-income adults. Parents and caretakers qualify up to 12% FPL (state uses a dollar standard); children and pregnant women have higher limits.
Source: Medicaid.gov: Medicaid, CHIP, and Basic Health Program Eligibility Levels (state decisions as of 2023-12-01, read 2026-10-23), as of December 1, 2023.
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Quick facts
- ACA expansion
- No
- Adults 19 to 64
- Not covered (no expansion)
- Parents
- 12% FPL (state uses a dollar standard)
- Pregnant women
- 198% FPL
- Children 6 to 18
- 133% FPL
- State agency
- Texas Medicaid agency
Texas income limits by group
| Group | Income limit | Monthly, household of 1 (2026) |
|---|---|---|
| Adults 19 to 64 (expansion group) | Not covered (no expansion) | |
| Parents and caretaker relatives | 12% FPL (state uses a dollar standard) | $159 |
| Pregnant women (Medicaid) | 198% FPL | $2,633 |
| Pregnant women (CHIP) | No separate program | |
| Children under 1 (Medicaid) | 198% FPL | $2,633 |
| Children 1 to 5 (Medicaid) | 144% FPL | $1,915 |
| Children 6 to 18 (Medicaid) | 133% FPL | $1,768 |
| Children (separate CHIP) | 201% FPL | $2,673 |
Medicaid.gov notes that MAGI rules generally adjust income by an amount equal to a 5% FPL disregard, so a person can qualify with income about 5 percentage points of FPL above the standard shown. Other rules apply too, such as citizenship, immigration status, and state residency. The state agency makes the decision.
Related pages
Questions
Who qualifies for Medicaid in Texas?
Texas has not expanded Medicaid to all low-income adults. Parents and caretakers qualify up to 12% FPL (state uses a dollar standard); children and pregnant women have higher limits.
Did Texas expand Medicaid?
Medicaid.gov lists Texas as "No" for the adult expansion group.
How do I apply for Medicaid in Texas?
Apply any time through the state Medicaid agency or with a HealthCare.gov Marketplace application, which sends your information to the state if you may qualify.