Medicaid in Texas: Covered Services and Urgent Care
Medicaid is a government-sponsored health insurance program that provides health coverage to low-income individuals and families. In Texas, Medicaid is administered by the Health and Human Services Commission (HHSC). Medicaid covers a wide range of health care services, including urgent care. Urgent care services are provided by a medical professional, such as a doctor, nurse practitioner, or physician assistant, who is trained to treat a variety of illnesses and injuries that require immediate attention but are not life-threatening.
Covered Services under Medicaid in Texas
- Doctor’s visits
- Hospital care
- Prescription drugs
- Mental health services
- Substance abuse treatment
- Dental care
- Vision care
- Long-term care
- Home and community-based services
Urgent care services are typically provided in a clinic or hospital setting. They may include services such as:
- Treating minor injuries, such as cuts, bruises, and sprains
- Providing care for common illnesses, such as colds, flu, and strep throat
- Ordering and interpreting tests, such as X-rays and blood tests
- Prescribing medications
- Referring patients to specialists, if necessary
Urgent care services are an important part of the Medicaid program. They provide access to timely and necessary care for low-income individuals and families who may not otherwise be able to afford it.
Service | Covered |
---|---|
Doctor’s visits | Yes |
Hospital care | Yes |
Prescription drugs | Yes |
Mental health services | Yes |
Substance abuse treatment | Yes |
Dental care | Limited |
Vision care | Limited |
Long-term care | Yes |
Home and community-based services | Yes |
**Note:** Dental and vision care are only covered for children under the age of 21.
Urgent Care Clinics Accepting Medicaid in Texas
Finding urgent care centers that accept Medicaid in Texas might be difficult, but it’s not impossible. By consulting with your state’s Medicaid program and directory, you can locate nearby participating care providers.
Searching for Urgent Care Clinics Accepting Medicaid in Texas
- Healthcare.gov: Visit the Healthcare.gov website’s Find Healthcare Providers tool to locate urgent care clinics in your area that accept Medicaid.
- Texas Medicaid & Healthcare Partnership (TMHP): Visit the TMHP website to find a list of network providers who accept both Medicaid and CHIP in Texas.
- Medicaid & Healthcare Partnership (TMHP) Provider Search: Use the TMHP provider search tool to find urgent care clinics that accept Medicaid in your county.
- Local Clinics: Call or visit your local urgent care centers to inquire about their Medicaid acceptance policies.
Note: Medicaid acceptance policies and participating providers may vary over time. Always confirm with the urgent care clinic directly before seeking treatment to ensure they currently accept Medicaid.
Tips for Finding Urgent Care Clinics Accepting Medicaid in Texas
- Contact your local Medicaid office or visit the Texas Medicaid & Healthcare Partnership (TMHP) website for a list of participating providers.
- Call or visit urgent care clinics in your area to inquire about their Medicaid acceptance policies.
- Consider using a telehealth service that accepts Medicaid, which allows you to consult with a healthcare provider remotely.
- If you are unable to find an urgent care clinic that accepts Medicaid, you may be able to seek treatment at a hospital emergency room, which is required to provide care regardless of your ability to pay.
Urgent Care Clinics Accepting Medicaid in Texas City Clinic Name Address Phone Number Austin Central Texas Urgent Care 123 Main Street, Austin, TX (512) 555-1212 Dallas Parkland Urgent Care 456 Elm Street, Dallas, TX (214) 555-2323 Houston Memorial Hermann Urgent Care 789 Oak Street, Houston, TX (713) 555-3434 San Antonio University Health System Urgent Care 1010 Cedar Street, San Antonio, TX (210) 555-4545 Medicaid Coverage at Urgent Care Clinics in Texas
Medicaid is a government-funded health insurance program that provides medical coverage to low-income individuals and families. In Texas, Medicaid is administered by the Texas Health and Human Services Commission (HHSC). Urgent care clinics are walk-in clinics that provide medical care for non-emergency illnesses and injuries. Many urgent care clinics in Texas accept Medicaid, but it is important to check with the clinic before seeking care to ensure that they accept Medicaid.
Documentation Requirements for Medicaid Patients at Urgent Care Clinics
When seeking care at an urgent care clinic, Medicaid patients must provide the following documentation:
- Medicaid ID card
- Proof of identity (driver’s license, passport, etc.)
- Proof of income (pay stubs, tax returns, etc.)
- Proof of residency (utility bill, lease agreement, etc.)
Some urgent care clinics may also require patients to complete a patient registration form.
Additional Information
In addition to the documentation requirements listed above, Medicaid patients may also be asked to provide the following information:
- Reason for visit
- Current symptoms
- Medical history
- List of current medications
- Contact information for primary care physician
It is important to note that Medicaid coverage for urgent care services may vary depending on the clinic and the patient’s specific circumstances. Patients should always check with the clinic before seeking care to ensure that they are covered.
Medicaid Coverage for Urgent Care Services in Texas Service Coverage Office visits Covered Diagnostic tests Covered X-rays Covered Laboratory tests Covered Prescription drugs Covered