Texas Medicaid Buy-In Program (MBI)

Administered by Texas Health and Human Services Commission (HHSC) · hhs.texas.gov

Lets working Texans with disabilities earn substantially more than standard Medicaid limits and still keep full Medicaid coverage by paying a sliding scale monthly premium. Designed to remove the financial penalty that traditionally forced disabled adults to choose between working and keeping their health coverage. Covers all standard Medicaid benefits. Premiums are calculated using a formula based on countable income. Maximum premium is $500 per month combined.

Eligibility requirements

✓Texas residents ages 16 to 64 with a qualifying disability who are working (W-2 wages or self-employment with FICA tax paid). Earned income up to 250% FPL ($3,325 per month for an individual in 2026). Countable resources at or below $2,000. Sliding scale monthly premium based on income. Apply by calling 1-800-252-8263.

How to apply

Apply directly on the official website. GrantLantern does not process applications — we link you directly to the source.

Apply at hhs.texas.gov →

Opens the official source. GrantLantern is not affiliated with this program.

Program details sourced from official government and agency websites. Eligibility is determined by the administering agency — not GrantLantern. Verify current requirements at the official source before applying.

Related programs in Healthcare

Free HIV care, meds, support services

Ryan White HIV/AIDS Program

Medical care and support for people with HIV who lack adequate insurance coverage.

View details →

Free to sliding-scale based on income

SAMHSA Free & Sliding-Scale Treatment

SAMHSA-funded community clinics provide free or reduced-cost mental health and substance use treatment. Cli…

View details →

Free or very low cost treatment

Community Mental Health Center Grants

Federally Qualified Health Centers (FQHCs) receive federal grants to provide mental health services on slid…

View details →

Free services — meals, transportation, in-home care

Older Americans Act Services

Funds a network of local Area Agencies on Aging providing free meals, transportation, home care, caregiver …

View details →