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Pregnancy Medicaid in Texas

Postpartum coverage & eligibility checklist — 2026

texashealthhelp.com · Free help from Texas Health Help community navigators

Step 1 — Do you qualify? (the 4 rules)

  • You are pregnant, or were pregnant within the last 12 months.
  • You live in Texas.There is no minimum time you must have lived in the state.
  • Your gross monthly household income is at or under 198% of the federal poverty level.2026 limits: $3,490 (2 people), $4,399 (3), $5,308 (4), $6,217 (5), $7,126 (6). Count yourself plus your unborn baby.
  • You are a U.S. citizen or a qualified immigrant.If not, CHIP Perinatal or Emergency Medicaid can still cover prenatal care and delivery.
  • No asset or savings test, no credit check — applying is always free.

Step 2 — Documents to gather

  • Photo ID (driver's license, state ID, or passport)
  • Proof of pregnancy from your clinic or doctor, with your due date
  • Proof of income for the last 30 days (pay stubs, benefits letter, or tax return)
  • Proof of Texas address (utility bill, lease, or piece of mail)
  • Household info: names, birthdays, and Social Security numbers
  • Proof of citizenship or qualified immigration status, if requested

Step 3 — Apply (most approvals in about 15 days)

  • Apply online at YourTexasBenefits.com — this is the fastest way.You can also call 2-1-1 (option 2), mail Form H1205, or visit a local HHSC benefits office.
  • Use one application to be screened for Medicaid, CHIP, CHIP Perinatal, and SNAP at the same time.
  • Upload every requested document the same day and answer HHSC messages within 10 days.
  • Ask about back-dated coverage — care from up to 3 months before you applied may be covered.

Step 4 — Your 12 months of postpartum coverage

  • Delivery: hospital stay, labor and delivery, and newborn care are covered.
  • Weeks 1–6: schedule your postpartum checkup, plus any blood pressure or bleeding follow-up.
  • Months 2–6: mental health care and postpartum depression treatment are covered.Also covered: ongoing treatment for diabetes, blood pressure, thyroid, and other conditions.
  • Months 6–12: keep primary care, prescriptions, dental, and family planning visits.
  • Month 11: ask a navigator about what comes next before coverage ends.You may qualify for Healthy Texas Women, regular Medicaid, or a marketplace plan.
  • Report address, income, or household changes right away so you don't lose coverage.
Need help? Texas Health Help community navigators walk through the application with you for free. Visit texashealthhelp.com/request-help or call 2-1-1 (option 2). This checklist is general information, not medical or legal advice. Income limits from Texas HHSC, effective March 1, 2026.

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