leftimg centerimg rightimg
Skip Navigation Links
Adult Probation
Auditor's Office
Budget Office
Commissioners Court
County Clerk
County Courts at Law
District Attorney
District Clerk
District Judges
Emergency Management
Engineering Mapping GIS
Health Services
Human Resources
Information Technology
Justices of the Peace
Juvenile Probation
Office for Criminal Appointed Attorney
PR Bond Office
Tax Office
Veteran Services
Skip Navigation LinksHome > Health Services

Health Services

Eva Cruz Hamby

204 North 7th Street
Waco, Texas 76701
Office: 254-757-5174
Fax: 254-755-6128


English                   |               Español
Welcome to the Health Services Website
About CIHCP       |       Eligibility       |       Services

Chapter 61, Health and Safety Code, passed by the First 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.

Residence. The applicant must live in the county in which he/she applies and must intend to remain there.
Household. A CIHCP household is a person living alone or two or more persons living together where legal responsibility for support exits, excluding disqualified persons.  A disqualified person is one who received or is categorically eligible to receive Medicaid.
Resources. A household is eligible if the total countable household resources do not exceed $3,000.00 when a person who is aged or disabled and who meets relationship requirements lives in the home or $2,000.00 for all other households.
Income. A household is eligible if its monthly net income does not exceed the current allowed percentage of the federal poverty guidelines (FPG) as set by the Texas Dept. of State Health Services.
                                               CIHCP Monthly Income Standards
                                                Effective April 2013

# of Individuals in the

CIHCP Household

21% FPG Minimum

Income Standard

50% FPG Maximum

Income Standard






































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.
Prescriptions This service includes up to three prescription drugs per month.  New and refilled prescriptions count equally toward this three 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.

Optional Health Care 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, one 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 extremem 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

This application 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

McLennan County
Discount Prescription Drug Card Information
Home | Phone List | Job | Elections | Traffic Tickets | Taxes/Vehicles | About the County

501 Washington Ave., Waco, TX, 76701
redstar Webmaster
E-mails to this address should be related to comments regarding the McLennan County website and/or design.  Please direct all other questions to the department related to your concern.  (The following payment system sites are NOT maintained by McLennan County. Please direct your questions or website issues to the appropriate department. (Property Taxes: Tax Office, Traffic Tickets:  JP Office, etc)).