TMPPM 2008 > Provider Information > Provider Enrollment and Responsibilities > Provider Responsibilities

1.2.11 Informing Pregnant Clients About CHIP Benefits

Section 24, S.B. 1188, 79th Legislature, Regular Session, 2005, requires that Medicaid providers rendering services to a pregnant Medicaid client must inform the client of the health benefits for which the client or the client's child may be eligible under the Children's Health Insurance Program (CHIP).

CHIP is available to children whose families have low to moderate income, who earn too much money to qualify for the Texas Medicaid Program, and who do not have private insurance. Some clients may have to pay an enrollment fee.

To qualify for CHIP, a child must be:

•A Texas resident.

•Younger than 19 years of age.

•A citizen or legal permanent resident of the United States.

•Must meet all income and resource guidelines.

CHIP benefits include:

•Physician, hospital, X-ray, and lab services.

•Well-baby and well-child visits.

•Immunizations.

•Prescription drugs.

•Durable medical equipment (DME).

•Prosthetic devices (with a $20,000 limit per 12-month period).

•Case coordination and enhanced services for children with special health-care needs and children with disabilities.

•Physical, speech, and occupational therapy.

•Home health services.

•Transplants.

•Mental health services.

•Vision services.

•Chiropractic services.

Individuals may apply for CHIP by downloading and completing the application found on the CHIP page of the HHSC website at www.hhsc.state.tx.us/chip or by calling the toll-free CHIP number at 1-800-647-6558.