Texas Medicaid Buy-In Program (MBI)
Run by Texas Health and Human Services Commission (HHSC), a state agency
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.
- Award
- Varies
- Deadline
- Rolling
- Run by
- Texas Health and Human Services Commission (HHSC)
- State
Who it's for
- 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.
Texas Health and Human Services Commission (HHSC) decides who gets help.
How to apply
You apply on the program's own website. GrantLantern doesn't process applications. We link you straight to the source.
Apply at hhs.texas.govOpens in a new tab. GrantLantern is not affiliated with this program.
Texas Medicaid Buy-In Program (MBI) is one option. What else may help?
Many households qualify for more than one program. Answer a few questions to see what else you may qualify for.
Check what I may qualify forFree. No account needed. Your answers are never sold or shared.
Where this comes from
Details are based on the program's official information. Texas Health and Human Services Commission (HHSC) decides who is eligible, not GrantLantern. Check current requirements on their site before you apply.