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Who Can Get CHIP/Children's Medicaid?
The size of the family includes people in the household who bring in money (income) and who own things like real estate, stocks, or certificates of deposit. Family size and household are further defined by each person's tax status, tax relationships, living arrangement, and family relationships.
A family can include:
- Children age 18 or younger living in the home, even if they are married
- Parents – both natural and adoptive – who are living in the home
- Stepparents living in the home
- People living in the home who have a tax relationship to the child applying for benefits
A child age 18 or younger living outside the home may be considered a family of one, even if the child is living with another family.
HHSC asks for gross income when filling out the CHIP/Children’s Medicaid application form. Gross income is the amount you make before taxes or other deductions are taken out. A family’s gross income must be below 200 percent federal poverty level (FPL) for the children to get CHIP coverage. Generally, a family’s gross income must be below 133 percent FPL for children to get Medicaid. Family income includes the income of all children age 18 or younger, all parents, and all stepparents living in the home. These people must verify their income when they first apply and when they renew their coverage. Income includes:
- Self-employment income
- Social Security (retirement, survivor and disability)
- Child support
- Veterans Administration benefits
HHSC staff will convert each person’s income to a monthly amount: