Texas CHIP

{"service_id":"texas-chip","effective_date":"2024-01-01","rules":[{"id":"age","key":"age","operator":"less_than","value":19,"requirement":"required","label":"Age Requirement","description":"Must be under 19 years old.","source_url":"https://www.hhs.texas.gov/services/health/medicaid-chip/medicaid-chip-programs/children-chip"},{"id":"income","key":"household_income_fpl","operator":"less_than_or_equal","value":201,"unit":"percent","requirement":"required","label":"Income Limit","description":"Household income must be at or below 201% of the Federal\nPoverty Level. Children in families with income above\nMedicaid limits but below 201% FPL qualify for CHIP.\n","source_url":"https://www.hhs.texas.gov/services/health/medicaid-chip/medicaid-chip-programs/children-chip"},{"id":"residency","key":"state_residency","operator":"equals","value":"TX","requirement":"required","label":"Texas Residency","description":"Must be a Texas resident."},{"id":"citizenship","key":"citizenship_status","operator":"in","values":["us_citizen","permanent_resident","refugee","asylee"],"requirement":"required","label":"Citizenship/Immigration","description":"Must be a U.S. citizen or qualified immigrant.\nLawfully residing children can enroll without a waiting\nperiod.\n","source_url":"https://www.hhs.texas.gov/services/health/medicaid-chip"},{"id":"no-other-coverage","key":"has_other_qualifying_coverage","operator":"equals","value":false,"requirement":"required","label":"No Other Coverage","description":"Must not have had employer-sponsored health insurance\ncoverage in the past 90 days.\n"},{"id":"not-medicaid-eligible","key":"qualifies_for_medicaid","operator":"equals","value":false,"requirement":"required","label":"Not Medicaid Eligible","description":"Must not qualify for Medicaid. CHIP covers the gap between\nMedicaid and private insurance affordability.\n"}]}