Client Eligibility

Loading...

Fee for Service (FFS) Program

The Title V Fee for Service (FFS) Contracts Program pays health care providers for a limited selection of outpatient services for those persons meeting the Program's eligibility criteria. The Title V FFS will pay for selected maternity services, infant/child/adolescent health care services, and dental services for children and adolescents when provided by contracted Title V FFS providers.

 

Title V Eligibility Criteria

An individual is considered eligible for Title V allowable direct health care/enabling services if the individual is:

  1. a child age 0 through 21, an individual pregnant at any age, with a family income less than 185% of the most recent Federal Poverty Level (FPL) as seen below.
  2. a Texas resident
  3. otherwise uninsured for the same service provided
  4. not eligible for Medicaid or CHIP.

Pregnant women, and other potentially fertile women age 45 and over, who would otherwise meet Title V eligibility requirements shall also be regarded as potentially Title V eligible. Individual client eligibility will be determined on an annual basis, and at other times as necessary, based upon change in pregnancy status or income.

Eligible Income - 2012 Federal Poverty Income Guidelines (185%)

Family Size

Annual Maximum

Monthly Maximum

1 Person

$20,665

$1,723

2 People

$27,991

$2,333

3 People

$35,317

$2,944

4 People

$42,643

$3,554

5 People

$49,969

$4,165

6 People

$57,295

$4,775

7 People

$64,621

$5,386

8 People

$71,947

$5,996

 Effective March 1, 2012

Welfare Reform

The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA), P.L. 104-193 restricts the access of certain categories of immigrants to specified Federal benefits. However, this law does not apply to Title V programs.

For More information on eligibility, contact a Title V provider near you.

 

Contact Information

Texas Department of State Health Services
Community Health Services Section
1100 W. 49th St. (Mailcode 1923)
Austin, TX 78756

Phone: 512-776-7796
Fax: 512-776-7203

  

  Contact Us

  • Loading...
Last updated February 23, 2012