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:
- 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.
- a Texas resident
- otherwise uninsured for the same service provided
- 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