In response to the COVID-19 pandemic, the federal government declared a public health emergency (PHE) and passed a law that allowed you to automatically keep your Medicaid coverage since March 2020.
Beginning April 1, 2023, members may need to renew their coverage.
Actions You Can Take Now
Superior HealthPlan wants to help you get well and stay well. That’s why it’s important to know how and when you need to complete your Texas Medicaid renewal to ensure continued coverage. Below are some common questions about the renewal process and a list of resources that are available to help you get the care you need.
If you have a renewal date during the PHE, you will get a notice by mail, or email you signed up to go paperless. Look for a yellow envelope with the words “ACTION REQUIRED” in red from the Texas Health and Human Services Commission (HHSC). The letter will explain how to verify your Medicaid or CHIP eligibility. It will include a form that you will need to sign and mail back by the due date. You also may be asked to provide more information.
If you are no longer eligible for Medicaid or CHIP, you can explore Superior’s Marketplace (Ambetter from Superior HealthPlan) and Medicare (Wellcare by Allwell) options.
Based on new federal law, continuous Medicaid coverage ended on March 31, 2023. HHSC will reach out to you when it’s time to renew your coverage. It is important for you to respond to any renewals or information requests from HHSC to ensure you keep your coverage if you are still eligible.
You should be on the lookout for notices from HHSC. These notices are mailed in a yellow envelope that says Action Required in red. Yellow Envelope (PDF): This is an image of the yellow envelope that recipients will receive via mail to update their contact information, complete their renewal or submit other information.
Log in to your account at YourTexasBenefits.com and click Select Details for your case. If it’s time for you to renew your benefits, it will say Yes in the Time to Renew column.
You should respond to any request HHSC sends you. When you get a notice that your renewal is due, follow the instructions to complete and return the information as soon as possible. This will ensure that your benefits continue if you are elligible.
The best way to complete your renewal is online at YourTexasBenefits.com.
You can also submit your application, renewal form and requested information by:
You can create a Your Texas Benefits online account or download the Your Texas Benefits mobile app to view your account information, update your contact information or report a change, and download verifications requested by HHSC. Visit YourTexasBenefits.com to get started. You can also sign up for electronic alerts to stay informed about your case.
You must continue to report all changes and return all requested information, including renewal forms. You can report a change by going to YourTexasBenefits.com, using the mobile app, or calling 2-1-1 and choosing Option 2 after picking a language.
Only some people may need to submit a new application. Members will receive a notice or a request for information from HHSC that may include completing an application or renewal form or providing additional verification.
The best way to submit an application or respond to those requests is online at YourTexasBenefits.com.
You can also submit your application, renewal form and information by:
Completing your renewal when it is time will help make sure you don’t lose your coverage later or have a gap in coverage if you are still eligible. Now that continuous coverage has ended, you may lose coverage if you don’t return information needed for your renewal by the due date.
You will get a yellow envelope in the mail from HHSC, or you will get an email or text informing you there is a letter posted to your account if you signed up for electronic notices through Your Texas Benefits. You can also check if it’s time for you to renew by logging in to your account on YourTexasBenefits.com or the mobile app, or by calling 2-1-1 and choosing Option 2 after picking a language.
If you are the head of household or an authorized representative, you will be able to apply, renew and report changes on the YourTexasBenefits.com website. You can also access your renewal and make changes from the mobile app.
HHSC is providing more time for certain people to submit their renewal packets. This is a 30-day extension for qualified Medicaid recipients to submit their renewal packet or request for information. Renewal packets and requests for information due on Oct. 9, 2023, are now due on Nov. 8, 2023. Click here for more information.
Once you turn in your renewal, HHSC will review your application and may ask for missing information or information not available from other sources.
If you are still eligible, you will receive a notice from HHSC that says your Medicaid eligibility is renewed.
During the Medicaid renewal process, HHSC will evaluate your eligibility for other HHS programs, such as Healthy Texas Women (HTW) and the Children’s Health Insurance Program (CHIP).
Health Insurance Marketplace
If HHSC determines that you are not eligible for Medicaid after continuous coverage ends, you may receive information to explore other health insurance options, like Ambetter from Superior HealthPlan through the Health Insurance Marketplace. As federally required, members’ applications are sent automatically to the Marketplace if they are not eligible for medical coverage through HHSC. You can go to HealthCare.gov or call 1-800-318-2596 to learn more or find someone to help you with your application.
Primary Health Care Services
HHSC’s Primary Health Care (PHC) Services Program works with clinic sites across Texas to ensure eligible Texas residents can get comprehensive primary health care services to prevent, detect and treat health problems. The PHC Services Program serves men, women and children. You can visit hhs.texas.gov/services/health/primary-health-care-services-program to see if you or someone you know is eligible and find out how to apply for services.
Family Planning Program
HHSC’s Family Planning Program (FPP) is dedicated to offering women’s health and family planning services to eligible women and men in Texas. The program offers a wide range of women’s health and core family planning services that can have a positive effect on future pregnancy planning and general health. Visit HealthyTexasWomen.org to see if you or someone you know is eligible and find out how to apply.
Mental Health Services
HHSC contracts with 37 local mental health authorities and two local behavioral health authorities to deliver mental health services in communities across Texas. HHSC will not deny you mental health services, and the charge for services is based on your ability to pay. Visit hhs.texas.gov/services/mental-health-substance-use to learn more and find services in your area.
HIV Medication Program
You may receive help with your medications through the Texas HIV Medication Program (THMP) or Patient Assistance Programs (PAPs). PAPs are programs created by pharmaceutical medication manufacturers to help patients who meet financial criteria purchase necessary medications. Through these programs, prescription medications may be made available at no cost or at a minimal fee for individuals who do not have insurance or are underinsured. Your local community organization may also be able to help you find other local resources for your medications and HIV care. For more information about THMP, visit dshs.texas.gov/hivstd/meds.