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Medicaid Rules Are Changing

Since March 2020, the federal government has prevented states from terminating Medicaid coverage due to the COVID-19 Public Health Emergency. That changed beginning April 1, 2023.

On April 1, 2023, the state of Texas began the process of rechecking Medicaid eligibility for all 5.9 million Texas women and children who currently receive Medicaid coverage. The state is renewing coverage for those who are still eligible for Medicaid. Texans who are no longer eligible will either be enrolled in other health coverage options, such as the Children’s Health Insurance Program (CHIP), or receive information to sign up for other options, such as Healthcare.gov Marketplace insurance.

The state of Texas began rechecking eligibility by starting with those most likely to have a change in their eligibility:

Kids who have turned 19
Kids whose family income has changed
Pregnant women who have had their baby

This may be a confusing time and things are changing fast. Some Texans may lose Medicaid coverage because they no longer qualify. This resource hub has information you may need and links to helpful resources.

Listen to our townhall to get the information you need.

We hosted a townhall with Texans across the state. Listen to our recording to hear frequently asked questions and stay up-to-date on Medicaid.

English recording | Spanish recording

Number of Medicaid renewals that have been initiated:

2.5 million

Medicaid Members

The most important thing to do is make sure the state has updated information about you and your family, such as your address, contact information, and household income. This is especially important if you’ve moved, changed jobs, or had a baby. One way to do this is through YourTexasBenefits.com or the YTB app. Even if you lose Medicaid, there may be other state programs you qualify for or you can sign up for coverage on the HealthCare.gov Marketplace.

Partners

Partners can help make sure Medicaid members update their information so they receive notices from the state and the state can accurately decide if they still qualify for Medicaid. Additionally, there are a number of resources available for explaining other health coverage options as well as more information about the state’s plan for restarting renewals.