The Texas Health and Human Services Commission (HHSC) is using digital technology to streamline the process of verifying a person’s Medicaid eligibility and accessing Medicaid health history.

The two main elements of the system are:

• The Your Texas Benefits Medicaid card, which replaces the Medicaid ID letter (Form 3087) clients have been getting in the mail every month.
• An online website where Medicaid providers can get up-to-date information on a patient’s eligibility and history of services and treatments paid by Medicaid.

The system is being introduced in two phases.

Phase 1 launched July 29^th and includes:

• Mailing ID cards to Texas Medicaid members.
• An interactive voice response (IVR) line, and member and provider help desks.
• A basic provider website for verifying patient Medicaid eligibility.

Phase 2 is scheduled for late 2011 and will include:

• An expanded provider website with health, prescription, and immunization history.
• A new website that will allow Medicaid members to view eligibility, health history, Texas Health Steps information, alerts, and update their address and phone number.

• Medicaid Client FAQ
• Provider FAQ
• Stakeholder FAQ

Provider Website

Phase 1 (available now)

• Electronic eligibility verification

• Check-in/check-out

• View Texas Health Steps data

• Broadcast alerts

Phase 2 (late 2011)

• View health history

• Claims history

• Diagnosis history

• Immunization details

• Lab data

• E-prescribing

• Prescription history

Client Website

This website will allow Medicaid clients to:

Phase 1 (available now)

• Apply for benefits.

• Verify status of application.

Phase 2 (late 2011)

• Verify eligibility.

• View health history.

• View Texas Health Steps data.

• Broadcast alerts.

• Update address and phone number.