TMPPM 2009 > Provider Information > Client Eligibility > General Medicaid Eligibility

4.1.4 Foster Care

Most children in the state of Texas foster care program are automatically eligible for Medicaid. To ensure that these children have access to the necessary health-care services for which they are eligible, providers can accept the Medicaid Eligibility Verification Form H1027 as evidence of Medicaid eligibility. Although this form may not have a Medicaid number, it is an official state document that establishes Medicaid eligibility.

Providers should honor the Medicaid Eligibility Verification Form H1027 as proof of Medicaid eligibility and must bill Texas Medicaid as soon as a Medicaid ID number is assigned. Medicaid ID numbers will be assigned approximately one month from the issue date of the Medicaid Eligibility Verification Form H1027. The form includes a Department of Family and Protective Services (DFPS) client number that provides an additional means of identification and tracking for children in foster care.

Reminder: Adoption agencies/foster parents are no longer considered third party resources (TPRs). Medicaid is primary in these circumstances.

Refer to: "STAR Health Program"