DHP Utilization Management
Ph: 1-877-455-1053
Fax: 1-866-741-5650

DHP STAR Kids LTSS Services
Ph: 1-844-376-5437
Fax: 1-844-381-5437

Hours of Operation:
Monday – Friday 8 a.m. – 5 p.m. (CST) (Except state holidays)
Messages will be returned within one business day.

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5

Is your child 18 years old or younger?

* Children up to age 20 can qualify for Medicaid in some cases

Yes

No

Continue

Is your child a US Citizen or legal
permanent resident?

Yes

No

Continue

Does your child live in Texas?

Yes

No

Continue

What is the size of your family?

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2

3

4

5

6

7

8

9+

Continue

Do you fall within the maximum
Monthly / Yearly income range?

Family Size	Max Monthly Income	Max Yearly Income
1	≤ $1,346	≤ $16,147
2	≤ $1,825	≤ $21,892
3	≤ $2,304	≤ $27,638
4	≤ $2,782	≤ $33,383
5	≤ $3,261	≤ $39,129
6	≤ $3,740	≤ $44,875
7	≤ $4,219	≤ $50,620
8	≤ $4,698	≤ $56,366

*Income is money you get paid before taxes are taken out.
**A family of one might be a child who does not live with a parent or other relative.

Yes

No

Continue

It appears you may qualify for
STAR or CHIP

Apply for STAR or CHIP through one of the following options:

Call 1-877-543-7669 (1-877-KIDS-NOW)

Call 1-877-DCHP-KIDS for help.

chipmedicaid.org

Apply Now

You are eligible to apply if you:

Are an adult who lives more than half time with an uninsured child
Are 19 or younger and live on your own
Are pregnant (any age)

Paperwork you will need to complete the application:

Proof of income (check stub or other income data)
Proof of you and your child's Social Security Number
Proof of you and your child's residency status or immigration status

'

It appears you may not qualify for
STAR or CHIP

Please visit CHIP/Medicaid for more information:

STAR / CHIP / Medicaid

1
2
3
4
5

Is your child 18 years old or younger?

* Children up to age 20 can qualify for Medicaid in some cases

Yes

No

Continue

Is your child a US Citizen or legal
permanent resident?

Yes

No

Continue

Does your child live in Texas?

Yes

No

Continue

What is the size of your family?

1

2

3

4

5

6

7

8

9+

Continue

Do you fall within the maximum
Monthly / Yearly income range?

Family Size	Max Monthly Income
1	≤ $1,428
2	≤ $1,931
3	≤ $2,434
4	≤ $2,938
5	≤ $3,441
6	≤ $3,944
7	≤ $4,447
8	≤ $4,950

For each additional person, add: $504
*Income is money you get paid before taxes are taken out.
**A family of one might be a child who does not live with a parent or other relative.

Yes

No

Continue

It appears you may qualify for
STAR/Medicaid

Apply for STAR/Medicaid through one of the following options:

Call 1-877-543-7669 (1-877-KIDS-NOW)

Call 1-877-DCHP-KIDS for help.

chipmedicaid.org

Apply Now

You are eligible to apply if you:

Are an adult who lives more than half time with an uninsured child
Are 19 or younger and live on your own
Are pregnant (any age)

Paperwork you will need to complete the application:

Proof of income (check stub or other income data)
Proof of you and your child's Social Security Number
Proof of you and your child's residency status or immigration status

It appears you may not qualify for
STAR/Medicaid

Please visit STAR / Medicaid for more information:

STAR / Medicaid

1
2
3
4
5

Is your child 18 years old or younger?

* Children up to age 20 can qualify for Medicaid in some cases

Yes

No

Continue

Is your child a US Citizen or legal
permanent resident?

Yes

No

Continue

Does your child live in Texas?

Yes

No

Continue

What is the size of your family?

1

2

3

4

5

6

7

8

9+

Continue

Do you fall within the maximum
Monthly / Yearly income range?

Family Size	Max Monthly Income
1	≤ $2,158
2	≤ $2,918
3	≤ $3,679
4	≤ $4,439
5	≤ $5,200
6	≤ $5,960
7	≤ $6,721

For each additional person, add: $761
*Income is money you get paid before taxes are taken out.
**A family of one might be a child who does not live with a parent or other relative.

Yes

No

Continue

It appears you may qualify for
CHIP

Apply for STAR/Medicaid through one of the following options:

Call 1-877-543-7669 (1-877-KIDS-NOW)

Call 1-877-DCHP-KIDS for help.

chipmedicaid.org

Apply Now

You are eligible to apply if you:

Are an adult who lives more than half time with an uninsured child
Are 19 or younger and live on your own
Are pregnant (any age)

Paperwork you will need to complete the application:

Proof of income (check stub or other income data)
Proof of you and your child's Social Security Number
Proof of you and your child's residency status or immigration status

It appears you may not qualify for
CHIP

Please visit CHIP/Medicaid for more information:

CHIP / Medicaid

Medical Necessity Guidelines