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Providers Required to Distribute Notice About Newborn Medicaid Coverage

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In accordance with House Bill 3940, 89th Legislature, Regular Session, 2025, beginning January 1, 2026, providers will be required to distribute updated materials about newborn Medicaid coverage to the parent or caregiver of a newborn child.

The Texas Health and Human Services Commission (HHSC) has issued a Newborn Medicaid Coverage Notice to inform parents and caregivers that newborn children are automatically eligible for Medicaid and that providers may use the mother’s Medicaid ID number for claims until the child is assigned a separate Medicaid ID.

Providers must document their distribution of the coverage notice and retain that documentation for at least five years.

The Information for Parents of Newborns booklet and A Parent’s Guide to Raising Healthy, Happy Children have been updated to include information about Medicaid benefits for newborns, eligibility requirements, the application process, and how to report a child’s birth for enrollment.

These resources are available on the Maternal and Child Health Publications page of the Department of State Health Services (DSHS) website.

For more information, call the TMHP Contact Center at 800-925-9126.