Before a family can find out if their children can get CHIP or Medicaid, the family must submit a complete Form H1205, the Application for Health Coverage & Help Paying Costs. This is a single form to apply for CHIP, CHIP Perinatal, and Children’s Medicaid. The completed application must contain:
- All data fields completed (even if the entry is simply “N/A” or “not applicable”)
- Signature and date
Families can help shorten the time it takes to process an application by providing proof of income, expenses, and immigration status with the application.
For more information on what to do after the applicant has qualified, please visit the How to Enroll in Health Plans page of this website.
All CHIP/Children’s Medicaid applications—whether new or renewal; whether mailed, faxed, submitted online, or dropped off at an HHSC eligibility office—have a file date. This is the date HHSC first receives an application that has, at a minimum, the applicant’s name, address, and signature. HHSC has up to 45 days from the file date of an application to finish processing the application and tell the family if the children qualify for Medicaid, CHIP, or neither.
New applications or renewals may be submitted online, or filled out by hand and mailed to :
Texas Health and Human Services Commission
P.O. Box 14600
Midland, TX 79711-4600
Completed applications and proof documents can also be faxed to 1-877-447-2839.
If an application is not completely filled out, HHSC will send the family a missing information notice in the mail. An application is considered incomplete when some data fields are blank, when a signature is not included, or when documents of proof that are needed are not attached.
Documents of Proof
If HHSC gets an application that is missing some documents of proof, the person applying will get a missing information notice in the mail. To see specific documents HHSC may need and how they may be provided, see the form “How to Provide Missing Information.”
Documents of proof are NOT required for:
- Family size
Documents of proof are required for:
- Child’s U.S. citizenship
- Child’s immigration status
- Alimony costs claimed
- Termination of private health insurance
- Conflicting information.