Collin County Indigent Health Care Public Notice September 1, 2022

Collin County Indigent Health Care Public Notice

September 1, 2022 - August 31, 2023

All residents over the age of 18 who reside in Collin County and who fall within 100% of Federal Poverty Level

Income, resource, residency, citizenship and household composition criteria established in the Collin County

Indigent Care Program and who have no other equivalent public or private health care benefits, may be eligible for

medically necessary health care benefits as mandated by the State of Texas pursuant to the programs and services

offered by Collin County Indigent Program.

Potentially eligible residents may include:

• US Citizens

• Permanent Residents

• Individuals whose household composition makes them ineligible for Medicaid through the State of Texas

• Individuals who countable gross income minus work deductions does not exceed the minimum Federal

Poverty Income Level (FPIL) of 100%

• Individuals whose resource standards approximate the State of Texas’ TANF standards

Eligibility determination will be made within 14 (fourteen) business days after the date a completed application and

all required documentation is received by Collin County Indigent Program office.

A complete application will include but may not be limited to the following types of verification:

• Identification for each member of the applying household

• Proof of marital status

• Resources identification, to include automobile registration or title, property tax statement, savings

account/CD statements, etc.

• If applicant is a sponsored immigrant, a copy of the I-864 affidavit of support, name and address of the

sponsor, proof of resources provided to applicant from the sponsor, the date the sponsored immigrant

became a permanent resident, alien registration number, address, and date of birth

• Income and resources of all sponsors (and the sponsor’s spouse if applicable) who executed an affidavit of

support on behalf of a sponsored alien will be used to determine applicant’s eligibility

• Proof of income, or lack of income, to include verification of support by friends, family or other sources,

pay stubs, food stamp printout, self-employment records, etc.

• Proof of County residency

• Proof of registration with Texas Workforce Commission (some exemptions may apply)

Applicants must provide all requested information and documentation in order to determine eligibility or applicant

will be denied eligibility for assistance. Background checks will be completed. Applicants have the right to appeal

adverse decisions regarding eligibility.

Additional information applicable to sponsored immigrants: Collin County considers the benefits given to

applicants to be a means-tested public benefit. Therefore, Collin County reserves the right to seek reimbursement

from a Sponsor who signed an I-864 or any Affidavit of Support on behalf of an immigrant who receives any

benefits from Collin County. Collin County shall use all legal rights available to seek reimbursement from the

Sponsor.

Collin County Indigent Program

825 N. McDonald Street, Suite 110

McKinney, Texas 75069

Phone: (972) 548-4702

Applications can be mailed directly to you by calling the phone number listed above. Additionally, applications can

be found on the Collin County website at

www.co.collin.tx.us by clicking on the County Directory and choosing

Health Care Services and refer to Indigent Program Application under Links and Resources.

Collin County Indigent Program does not discriminate on the basis of age, race, or gender in administering the

Indigent Health Care Program.