New Rewards! ¡Nuevas recompensas!

Our Healthy Rewards Program is getting an update in September! For a sneak peek of all the changes - including new rewards and ways to redeem them - please click here.

¡Nuestro Programa Healthy Rewards tendrá su actualización en septiembre! Para ver un adelanto de todos los cambios, incluyendo nuevas recompensas y formas de canjearlas, haz clic aquí.

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How to Apply for Medicaid and CHIP-Perinatal (CHIP-P)

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Why Texas Children's Health Plan?

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Pregnant women that qualify might be able to get free or low-cost health coverage during their pregnancy through Medicaid for Pregnant Women or the Children's Health Insurance Program (CHIP) Perinatal program.
 

Follow these steps to apply for Medicaid and CHIP-P:

Submit your application

To apply for health coverage, you will need to fill out and submit an application to Texas Health and Human Services Commission (HHSC). You can do so online, through the mail, or over the phone. We can help you with your application in person or over the phone.

Please note you will need to submit these documents with your application:

  • Proof of pregnancy from your provider or by filling out this form from HHSC.
  • Proof of U.S. citizenship or immigration status.
  • Your family income within the last 30 days. (EX: last three pay stubs, most recent income tax, W-2 form, wage forms and/or a letter from your employer.)
  • Proof of Texas residency.
Online

Online:

Go to yourtexasbenefits.com to fill out and submit your application online.

Mail

Mail:

Download an application here. 
Then print, fill it out and mail it to HHSC at the following address:
Texas Health and Human Services Commission
PO Box 149024
Austin, TX 78714-9968

Phone

Phone: 

Call HHSC at 2-1-1, option 2 to submit your application over the phone.

In-Person Help

In-Person Help:

We can help you fill out your application!

Call Member Services at 1-888-559-7526 to get in touch with
an Application Assistance Specialist.

If you would prefer an Application Assistance Specialist
to contact you, please fill out this form.

You can get in-person help with your application by 
visiting one of our Service Area locations.

Click here to see where and when we might be in your area.

Get approved for Medicaid or CHIP-Perinate (CHIP-P).

Texas Health and Human Services Commission tries to process applications for Medicaid and CHIP-P coverage for pregnant women within 15 working days after the application is filed.

Here is how you can check the status of your application:

  • Log in to your profile at YourTexasBenefits.com.
  • Log into your profile through the Your Texas Benefits mobile app.
         
     
  • Call HHSC at 2-1-1, option 2.

Once you’ve been approved, choose a health plan and doctor!

After you’ve been approved, you’ll get a notice by mail or through the Your Texas Benefits account. Then you can call 1-800-964-2777 to choose a health plan and add your Primary Care Physician (PCP) and/or Obstetrician/Gynecologist (OB/GYN). If you would like to be covered by Texas Children’s Health Plan, this is where you would make that choice. 

You can also find doctors in our network through our “Find a Doctor” tool.

Get coverage after delivery. 

It’s important that you and your newborn have coverage after delivery in case the unexpected happens. Here are some options:

If you are covered by Medicaid:

  • You will have 12 months of coverage after you deliver your baby. Click here to download a PDF from HHSC with more information. (Click here to view the STAR Medicaid benefits we provider our pregnant members.)
  • Your newborn will be automatically covered by your same plan for 90 days, unless you request a change.
  • After your 12 months of overage is over, you can get extra health care support by enrolling in the Healthy Texas Women program. Click here for more information.

If you are covered by CHIP-P:

  • You will get two covered postpartum visits within 60 days of the end of your pregnancy.
  • Your newborn will have 12 months of coverage, but you will need to report the birth of your baby and select a health plan. Click here to visit our webpage that outlines this process. 
     

Pregnancy and Postpartum Care

Maintaining a healthy pregnancy and baby will help ease your mind and enjoy this exciting time. Click here to check out our helpful resources about pregnancy and postpartum care.

Caring for our Pregnant Moms:

Are you pregnant with your first baby? With the Nurse-Family Partnership, our members get the support of a personal nurse at no cost to offer help and advice during their pregnancy and after their baby arrives.

Click here for more information about the Nurse-Family Partnership.

Our exclusive Case Management program offers help to pregnant members throughout their pregnancy and postpartum recovery. Our dedicated case managers work with you, your doctor(s) and medical staff to ensure that you receive the best possible care at each step of your pregnancy and recovery.

Get rewarded for a healthy pregnancy!

Healthy Rewards Program

Get rewarded for taking healthy actions during and after your pregnancy. Our Healthy Rewards Program offers exclusive benefits and rewards to give both mom and baby a healthy start, including:

Click here for more information about our Healthy Rewards Program.

Why Texas Children's Health Plan?

See what member and mom Amanda Navarrete has to say!

Texas Children’s Health Plan is committed to helping expecting mothers through the entire pregnancy journey and beyond. Moms can get the care they need through our hands-on support programs, top-quality providers and more. It’s what we do every day.

Hear more stories!