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Home > Get Health Coverage with MAP and MAP BASIC > MAP Eligibility – Documents You’ll Need

MAP Eligibility – Documents You’ll Need

REQUIRED DOCUMENTS TO SUBMIT WITH YOUR APPLICATION

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PROOF THAT YOU LIVE IN TRAVIS COUNTY.
Examples include:
– Current Texas driver’s license
– Utility bill
– Mail postmarked in the last 30 days
ANY PROOF OF U.S. CITIZENSHIP OR RESIDENCY FOR YOUR HOUSEHOLD MEMBERS (INDIVIDUALS WITHOUT LEGAL RESIDENCY STATUS CAN SELF-DECLARE THEIR STATUS).
Examples include:
– Birth certificate
– Legal Permanent Resident Card
– Passport
– Other USCIS documents
PICTURE ID FOR ALL ADULTS IN YOUR HOUSEHOLD.
Examples include:
– State-issued driver’s license
– Foreign ID
– USCIS document
– Passport
PROOF YOU ARE THE PARENT OR LEGAL GUARDIAN OF ALL CHILDREN IN YOUR HOUSEHOLD.
Examples include:
– Birth certificate
– Adoption papers
– Legal guardianship papers
– Court documents
PROOF OF ANY OTHER HEALTH CARE BENEFITS FOR WHICH YOU HAVE BEEN APPROVED, BEEN DENIED, OR HAVE A PENDING APPLICATION.
Examples include:
– Medicaid enrollment verification letter
– Medicare card
– Private insurance card
– Denial letter for Medicaid or CHIP
– Letter from Social Security Administration indicating pending application
– Letter indicating pending application for TANF / Medicaid
PROOF OF YOUR HOUSEHOLD’S INCOME.
Examples include:
-Check stubs
– Cash contribution letter
– Retirement or Social Security benefits letter
– Unemployment benefits letter
– Child support payment letter
– Self-Employment Statement
– MAP’s Residence and/or Financial Support Statement
– MAP’s Employment Verification Form
OTHER FORMS
– Applicant Responsibilities
– Zero Income Statement
– Other Earned Income Statement
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Notice: The Travis County Healthcare District d/b/a Central Health adopted a tax rate that will raise more taxes for maintenance and operations than last year’s tax rate. The tax rate will effectively be raised by 6.0 percent and will raise taxes for maintenance and operations on a $100,000 home by approximately $6.18 (six dollars and eighteen cents).

Questions about MAP or MAP Basic:

512-978-8130

CommUnityCare:

512-978-9015

Sendero Health Plans:

877-800-5722

Submit a Public Information Request

Copyright © 2023 Central Health. All rights reserved.

NOTICE: THE TRAVIS COUNTY HEALTHCARE DISTRICT D/B/A CENTRAL HEALTH ADOPTED A TAX RATE THAT WILL RAISE MORE TAXES FOR MAINTENANCE AND OPERATIONS THAN LAST YEAR’S TAX RATE. THE TAX RATE WILL EFFECTIVELY BE RAISED BY 6.0 PERCENT AND WILL RAISE TAXES FOR MAINTENANCE AND OPERATIONS ON A $100,000 HOME BY APPROXIMATELY $6.18 (SIX DOLLARS AND EIGHTTEEN CENTS).

Copyright © 2022 Central Health. All Rights Reserved.