Womens texas health program medicaid application

If you are using one of these devices, other application options are listed below. You can download the form , fill it out by hand, and mail it or fax it to us at:. Healthy Texas Women P. Box Austin, TX Fax toll-free You must provide the additional information by the deadline on the letter.

Examples of proof are listed below. You also can apply at a clinic that offers Healthy Texas Women services. Fill out the form at the clinic and you might receive services the same day. You can find a participating clinic by using the Find a Doctor tool to the right. Call toll-free to find a WIC office. State and federal government websites often end in. The site is secure. Apply for Benefits. Pregnant women without health insurance might be able to get free health coverage during their pregnancy through Medicaid for Pregnant Women or the CHIP Perinatal program.

They can also have a positive effect on future pregnancy planning and general health. Lamar Blvd. Texas Health and Human Services. Search the Texas HHS site. They can mail or fax a completed application and required documents to: Healthy Texas Women P.

Call to find offices near you. To order large quantities of the application, use the online order form. If a woman has no countable household income, she should write that on the income section of the application. She does not need to show proof of income. Texas Health and Human Services eligibility staff may contact her for more information.

A woman can give a letter to confirm income or expenses. For example, a letter from an employer or from someone giving financial support is acceptable for verifying income. A letter from a provider confirming child care payments is an example of a document that can verify expenses. A letter must be from the person providing income or being paid expenses, not the woman applying.

Letters must show the amount and frequency of the payment or expense, as well as the author's phone number and address. All letters must be signed and dated by the author. Note: The letter does not need to say that the information is being requested for determining eligibility for Healthy Texas Women.

Women who are covered by Healthy Texas Women do not have to resubmit proof of citizenship or identification if they renew or reapply in the future.

Women who don't have any of the documents listed above must give two documents — one from each of the lists below:. Note : Documentation of household expenses is not required, but Texas Health and Human Services recommends that women send the following, if available:. It usually takes 45 days to process applications. Times may vary depending on the number of applications received.

The application allows women to list a separate mailing address where all correspondence can be sent. The woman must list her home street address on the application but she can list a P. If the woman has private health insurance coverage, providers do not bill the private insurance first because this could risk her confidentiality. Report changes on Form H, Report of Change.

The form is available in English and Spanish. The enrollment effective date is the first day of the month that Texas Health and Human Services receives the application.

For example, if we receive a woman's application on Jan.