Texas Medicaid Buy-In for Children (MBIC)

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

Lets families with higher incomes get full Medicaid coverage for a child with a serious disability by paying a sliding scale monthly premium. Critical for middle-income families with disabled children who would otherwise be uninsured or underinsured because they earn too much for standard Medicaid but cannot afford the specialized care their child needs. Covers all standard Medicaid benefits including long-term services and supports like in-home care and personal care. Monthly premium ranges from $0 to $230 depending on family income, with no premium if family already participates in HIPP (Health Insurance Premium Payment) program.