Questions and Answers

When should I take my child to the emergency room?

Most common problems and accidents are not serious enough for a trip to the hospital emergency room. Before your child gets sick or injured, talk with the doctor about when it’s best to go to the emergency room and when it’s best to get treatment at the doctor’s office or clinic.

We’ve put together a guide that can help you decide what to do when your child gets sick or injured. You will need Adobe Acrobat to open the guide.

What do I do if my child has an accident?

If Medicaid paid for medical care your child got for an accident or injury, you must call 1-800-846-7307 and give:

  • Your name and your child’s name.
  • Medicaid ID number.
  • Date of the accident or injury.

Also, give the name, address, and phone number of your lawyer or insurance company if:

  • You have a lawyer working for you.
  • There is an insurance company involved.
  • You filed a claim for this accident or injury.

You also must tell Medicaid staff about any lawsuits you or your family members file for being injured. Include the name and address of your lawyer or the insurance company working on your lawsuit.

It is important to follow all these rules to keep your Medicaid benefits.

You also can mail your information to:

TMHP/TORT
PO Box 202948
Austin, TX 78720-2948

If we have other insurance, can my child still get Medicaid services?

Your child can still see a Medicaid doctor if you have other insurance and Medicaid. If a doctor takes your child as a Medicaid patient, the doctor must file claims with your other insurance.

You must tell Medicaid staff about any other health insurance your child has. This includes insurance for medicine. Call 1-800-846-7307 if:

  • Your child loses the other insurance.
  • Your child gets new insurance.
  • You have questions about other insurance.

How do I keep getting Medicaid for my child?

Most people must sign up every 6 months to keep getting Medicaid. We will send you a form in the mail to renew Medicaid benefits. Fill out the form and mail it back. Or, you can renew Medicaid online at YourTexasBenefits.com. If you have questions, call 2-1-1 or visit the HHSC benefits office near you. To find a benefits office, go to YourTexasBenefits.com and click on “Find an office” at the top of the page.

1.      From the home page click “View my case.”
2.      Follow the steps for setting up an account or logging in.
3.      Click on the “Case Facts” tab near the top of the page. You might need to answer questions before you can see your case facts.
4.      Find the case number for the record you need to change. Click on the “Report a change” button next to that case number.

Don’t forget: You must report changes to your case within 10 days of the change.

What if I lose my card? How can I order a Your Texas Benefits Medicaid card for me and my family?

If you are approved for Medicaid benefits, you can order a new card by phone or on the web.

Phone
Call toll-free 1-855-827-3748.

  • Pick English or Spanish.
  • Be ready to give your Medicaid ID number.

Web
Go to YourTexasBenefits.com and follow these steps:

1.      From the home page click “View my case.”
2.      Follow the steps for setting up an account or logging in.
3.      Once you’ve logged in, click the “Medicaid” tab in the upper right part of the screen.
4.      Click “View services and health history.”
5.      Click the tab at the top that says, “Order or print Medicaid ID cards.”
6.      Find your name (or the name of the family member who needs a new card) and click the link in that same row that says “Order card.”

Can I print my card from the Internet?

If your computer is connected to a printer, you can print a paper copy of the Your Texas Benefits Medicaid ID card for you and those who are listed on your case.

Go to www.YourTexasBenefits.com  and follow these steps:

  1. Click 'Log In'.
  2. Enter your user name and password. If you don't have an account click 'Create a new account'.
  3. Click on 'Manage'.
  4. Click 'Medicaid & CHIP Services' in the Quick Links section.
  5. Click 'View Services and Available Health Information'.
  6. Click the 'Cards' tab at the top of the page.
  7. Click 'Print Cards'.
  8. Under the column 'Print copy of card' click the box in the row with the name of the person whose card you want to print. If there are several people listed you can print paper copies for each person.
  9. Click the 'Print Card' button. A new window will open with the image of the card.

I don’t have a Medicaid ID number, who do I call?

Call 1-800-252-8263 (toll-free)
After you pick either English or Spanish, pick option 2 – Learn more about the Your Texas Benefits Medicaid card and Medicaid benefits.

If you have Medicaid, the person you talk to can help you get a Medicaid ID number.

I’m not sure if I have Medicaid or not. How can I find out?

You can find out if you have Medicaid by phone or web.

Phone
Call 1-800-252-8263 (toll-free)
After you pick either English or Spanish, pick option 2 – Learn more about the Your Texas Benefits Medicaid card and Medicaid benefits.

Web
Go to YourTexasBenefits.com. Follow these steps:

1.      From the home page click “View my case.”
2.      Follow the steps for setting up an account or logging in.
3.      Once you’ve logged in, click the “Medicaid” tab in the upper right part of the screen.
4.      Click “View services and health history.”

Click the “Program” tab at the top of the page. Here you will be able to see who in your family has Medicaid coverage. The page also shows your plan and program name.