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Involuntary loss of coverage is a qualifying event
Involuntary loss of coverage is a qualifying event that triggers a special enrollment period. If you lose your plan, you’ll have a chance to enroll in a new plan, either on or off the exchange in your state.

Latest News & Topics

Latest News & Topics

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Applying for ACA Coverage?
Understanding how small differences in projected income can have a large impact on your health plan costs can be key to obtaining affordable coverage.
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Texas Medicaid Redetermination
Texas Medicaid redetermination is underway

Until recently, you could keep your Medicaid coverage with automatic renewals because of the COVID-19 public health emergency. This was known as continuous Medicaid coverage. Now, because of a new federal law, states are returning to normal renewal processes beginning in 2023.

Learn how the end of continuous Medicaid coverage in Texas may impact you and your family.

We can help you understand how to stay covered.

Understanding what Texas Medicaid redetermination means for you

Reviewed by our health policy panel.

How to renew Medicaid in Texas and what to do if you’re no longer eligible

As the Texas Medicaid redetermination process gets underway, the Texas Health and Human Services Commission is reviewing the eligibility of some 5.9 million recipients who have been receiving Medicaid throughout the pandemic. If this is you, be on the lookout for a renewal notice and instructions from HHS.

The top of the notice says, “Form 1809: Retest all Continuous Medicaid Population.” It will include your case number at the top. The form will explain how to complete your renewal, which you must do to keep your Medicaid coverage.

If you are uncertain whether this redetermination (also called an “unwinding”) affects you or are wondering “How do I check my Medicaid status in Texas?”, you can call HHS at 800-252-8263, 2-1-1 or 877-541-7905. Or visit the YourTexasBenefits.com.

No longer eligible to renew Medicaid in Texas?
You have options for health insurance in TX.

Get coverage through your job

Find out if you can get coverage through your employer, or the employer of your spouse or parent. There is a special enrollment window for employer-sponsored coverage if you lose your Medicaid coverage. That window typically lasts for 60 days for people who have lost Medicaid coverage.

Texas health insurance Marketplace

If you lose your Medicaid coverage, you will qualify for a special enrollment period. During this limited window of time, you can find replacement coverage on the ACA health insurance Marketplace.

Get financial help, if needed

If you can get health insurance coverage through your job but it is too expensive for you to afford, you may qualify for financial assistance. Use our Employer Health Plan Affordability Calculator to see your potential savings on an ACA Marketplace plan.

See if you qualify for Medicare

People over the age of 65 and some younger people who have permanent disabilities are eligible for Medicare. If you’ve become eligible for Medicare since 2020 but have not enrolled because you had Medicaid, you’ll have a special enrollment period to transition to Medicare when your Medicaid ends.

FAQs about Texas Medicaid redeterminations and renewals

If you need to complete your renewal to keep receiving Medicaid benefits, Texas Health and Human Services (HHS) may send you a renewal notice. The notice will come in a yellow envelope that says “Action Required.” It’s important to update your contact information with HHS so you continue to receive important notices and updates.

You may receive a notice from the Texas Health and Human Services Commission (HHSC). At the top of the notice, it will say, “Form 1809: Retest all Continuous Medicaid Population.” It will include your case number at the top.

To verify your eligibility and keep receiving Medicaid benefits, you may need to give more information or complete a renewal packet. In Texas, the form you may receive with a request for information is the H1020, Request for Information or Action form. If you receive this form, it’s time to renew your benefits. Follow the instructions on the form and be sure to respond by the deadline listed.

You can respond to requests and update your contact information online through a Your Texas Benefits online account. Your Texas Benefits accounts allow you to manage your case and renew benefits for:
  • Medicaid
  • SNAP food benefits
  • The Children’s Health Insurance Program (CHIP)
  • TANF cash help for families
To set up an account, visit: YourTexasBenefits.com.

Texas Health and Human Services (HHS) has an online tool to help you learn about your Medicaid eligibility.

Once Texas HHS has reviewed your eligibility, you will get a final determination notice. That notice is “Form TF0001, Notice of Case Action.” If the notice tells you that you are no longer eligible, you can appeal the decision to try to keep receiving benefits. Instructions for the appeal will be included on Form TF0001.