County Indigent Health Care Program Chapter 61, Health and Safety Code, passed by the 1st Called Special Session of the Texas 69th Legislature (1985), is intended to ensure that needy Texas residents, who do not qualify for other state or federal health care assistance programs, receive health care services through the County Indigent Health Care Program (CIHCP).
This law defines who is indigent, assigns responsibilities for indigent health care, and establishes a state assistance fund to match expenditures for counties that exceed certain spending levels and meet state requirements.
Texas Department of State Health Services (DSHS) must:
Establish the eligibility standards and application, documentation, and verification procedures for counties,
Define basic and department-established optional health care services,
Establish the payment standards for basic and department-established optional health care services,
Administer the state assistance fund for counties not fully served by a public hospital or hospital district that spend more than 8% of their general revenue tax levy (GRTL), and
Resolve eligibility disputed between a provider and a county, public hospitals, or hospital district.
DSHS County Indigent Health Care Group (CIHCG) staff provides training and technical assistance to counties, public hospitals and hospital districts.
Physician services include services ordered and performed by a physician that are within the scope of practice of their profession as defined by state law.
Annual physical exams are examinations provided once per calendar year by a physician or a physician assistant associated testing, such as mammograms, can be covered with a physician referral.
Immunizations are given when appropriate.
Medical screening services include blood pressure, blood sugar, and cholesterol screening.
Laboratory and x-ray services are professional and technical services ordered and provided under the personal supervision of a physician in a setting other than a hospital(inpatient or outpatient).
Family planning services are preventive health care services that assist an individual in controlling fertility and achieving optimal reproductive and general health.
Skilled Nursing Facility (SNF) services must be medically necessary, ordered by a physician, and provided in a SNF that provides daily services on an inpatient basis.
Prescriptionsservice includes up to 3 prescription drugs per month. New and refilled prescriptions count equally toward this 3 prescription drugs per month total. A physician or other practitioner within the scope of practice must prescribe drugs under law.
Inpatient hospital services must be medically necessary and provided in an acute care hospital to hospital inpatients, by or under the direction of a physician, and for the care and treatment of patients.
Outpatient hospital services must be medically necessary and provided in an acute care hospital to hospital outpatients, by or under the direction of a physician, and must be diagnostic, therapeutic, or rehabilitative. Outpatient hospital services include hospital-based ambulatory surgical center (HASC) services.
The county may require prior authorization from the provider.
Dental services must be medically necessary and provided by a DDS, DMD, or DDM. Items covered are: an annual routine exam, annual routine cleaning, 1 set of annual x-rays, and the least costly service for emergency dental conditions for the removal or filling of a tooth due to abscess, infection, or extreme pain.
Diabetic medical supplies and equipment must be prescribed by a physician and include test strips, alcohol prep pads, glucometers, insulin syringes, humulin pens, and needles required for the humulin pens.
For Good Health Card Program or Family Practice Clinic information, please call 254-750-8200.
Health Care Assistance Application
The Application for Health Care Assistance (PDF) needs to be printed, signed and dated to be considered a complete application.
Mail signed or bring applications to:
McLennan County Health Services
204 N 7th Street
Waco, Texas 76701