Texas Health & Human Services Commission · Updated August 22, 2026

Texas Medicaid (Texas Medicaid): 2026 Income Limits, Eligibility & How to Apply

Because Texas is one of the states that did not adopt the ACA Medicaid expansion, Texas Medicaid does not cover most working-age adults. In 2026, parents qualify at roughly $364 a month for a parent in a family of three, while coverage for children and pregnant women reaches much higher incomes.

Single adultNot availableper month, 2026
Family of 4 (adults)Not availableper month
Children, family of 4$5,500per month
Seniors (65+), single$1,330per month + asset test

Texas Medicaid guides for 2026

Texas Medicaid income limits for parents and caretakers, 2026 (16% of FPL)
Household sizeMonthly income limitAnnual income limit
1 person$213$2,554
2 people$289$3,462
3 people$364$4,371
4 people$440$5,280
5 people$516$6,189
6 people$591$7,098
7 people$667$8,006
8 people$743$8,915

Each additional person adds $76 per month. Figures use the 2026 federal poverty guidelines and are rounded to the nearest dollar.

Who runs Texas Medicaid

Texas Medicaid is administered by the Texas Health & Human Services Commission under federal rules set by CMS. Children in families over the Medicaid limit are covered by Texas CHIP, the state CHIP program. Applications are free and can be submitted any day of the year.

Frequently asked questions

Does Texas have expanded Medicaid?
No. Texas has not adopted the ACA Medicaid expansion, so adults without dependent children generally cannot enroll.
What is Texas Medicaid called?
Texas's Medicaid program is called Texas Medicaid; the children's program is Texas CHIP. It is run by the Texas Health & Human Services Commission.
What is the 2026 income limit for Texas Medicaid?
A single adult qualifies up to Not available per month; a family of four up to Not available. Children and pregnant women have higher limits.