Pregnant Members

Medicaid or CHIP covered services remain available in the 12-month postpartum period.

This is including but not limited to:

• Regular medical and dental checkups.
• Prescription drugs and vaccines.
• Hospital care and services. X-rays and lab tests.
• Vision and hearing care.
• Access to medical specialists and mental health care.
• Treatment of special health needs and pre-existing conditions.

If you report a new pregnancy by calling 211 while in your 12-month postpartum period, your eligibility will be reviewed for Medicaid or CHIP.

If you’re eligible for Medicaid or CHIP for your new pregnancy, you’ll receive coverage for the pregnancy and for 12 months after the new pregnancy ends. 

You would remain enrolled in Medicaid or CHIP for your entire first 12-month postpartum period unless you:

• Voluntarily withdraw.
• Move out of Texas.
• Are determined ineligible because of fraud, abuse or perjury.
• Die.

If you’re currently receiving CHIP services and were found eligible by HHSC to receive 12-month postpartum coverage, you won’t need to pay another enrollment fee to get 12-month postpartum coverage.

We’ll attempt to automatically renew your Medicaid or CHIP coverage about two months before your 12-month postpartum period ends.

If you aren’t eligible for full coverage Medicaid or CHIP, we’ll determine if you’re eligible for the HTW program.

If we can’t automatically verify your eligibility, we’ll send you a renewal packet. Your renewal application must be returned within 30 days. 

To learn more, visit texashhs.org/postpartum or call 2-1-1 and choose Option 2.