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Healthcare for Former Texas Foster Youth

As you become a young adult and make the transition from foster care to independent living, the government offers you several ways to help you keep your medical coverage and stay healthy.

The Former Foster Care Children program provides healthcare coverage to you when you turn age 18 and will be available through age 25.   You receive services in two separate healthcare programs based on age:

  • Young adults aged 18 through 20 are enrolled in STAR Health but can switch to STAR; and
  • Young adults aged 21 through 25 receive Medicaid through the STAR plan of their choice through the month of their 26th birthday.  

Ages 18 through 25 - Former Foster Care Children Program

To be eligible for this program, you must:

  • Be age 18 through 25;
  • Have been in Texas foster care on his or her 18th birthday or older;
  • Be receiving Medicaid when he or she aged out of Texas foster care; and
  • Be a US citizen or have a qualified alien status, such as a green card.

There are no income, asset, or educational requirements to qualify for this program.

Ages 18 through 20-Medicaid for Transitioning Foster Care Youth

Medicaid for Transitioning Foster Care Youth is available for former foster youth who are under the age of 21 and who are not eligible for the Former Foster Care Children program because you were not receiving Medicaid at the time you aged out of care.  If you are eligible for this program you will receive STAR Health.
To be eligible for this program, you must:

  • Be age 18 through 20;
  • Have been in Texas foster care on his or her 18th birthday or older;
  • Not have other health coverage;
  • Meet program rules for income; and
  • Be a US citizen or have a qualified alien status, such as a green card.

STAR Health and STAR Services

Detailed information about healthcare coverage for STAR Health and STAR member programs are available at:

Medicaid Renewals

HHSC no longer mails paper renewal packets for healthcare benefits.  Based on information already provided, a renewal letter is mailed to you 3 to 4 months before benefits end in an envelope marked "Time Sensitive".  You have 10 days to respond.  If more than 30 days pass without a response, benefits may end or there will be a gap in your healthcare coverage.  Benefits are renewed every 12 months. The fastest way to complete Medicaid renewals is:

Address Change

*It is very important that you report any address changes within 10 days of knowing about the change.   You can report all changes or request help by contacting 2-1-1 or use

Questions about STAR Health and STAR Member Services

For questions about STAR Health or STAR Member Healthplans follow one of these steps:

  • Call one of the helpful numbers on the health plan or 1-800-964-2777
  • Call 2-1-1; or
  • Use the website

Well-being specialists are a STAR Health resource contact. You should also refer to the handout Medicaid coverage and help with benefits for Texans ages 18 to 25 who were in foster care

Health Care Coverage-Interstate Compact on the Placement of Children (ICPC)

As of October 1, 2014, children or youth placed by DFPS in foster care in other states and children or youth placed in foster care in Texas from other states under the Interstate Compact on the Placement of Children (ICPC) agreement are eligible for MTFCY and Former Foster Care in Higher Education (FFCHE) if they:

  • Have aged out of foster care at age 18 or older;
  • Currently reside in Texas; and
  • Have had an ICPC agreement.

Young adults must meet all other MTFCY and FFCHE eligibility requirements, with the exception of income and asset tests.

Additional Resources

Texas Health Steps

To Apply or Re-Apply for Medicaid for Transitioning Foster Care Youth and Former Foster Care Children Programs

Young adults may apply or re-apply for either Medicaid for Transitioning Foster Care Youth or Former Foster Care Children Programs by:

  • Faxing or mailing (information on the application):
    • Form H1010-Texas Works Application for Assistance, or
    • Form H1205-Texas Streamlined Application;
  •; or
  • Calling 2-1-1.

These forms can be printed from the website. 
On either the H1010 or the H1205, to be considered for Former Foster Care Children or Medicaid for Transitioning Foster Care Youth programs, you must mark either of the following questions as “Yes:”

  • Were you in foster care at age 18 or older?
  • Were you in an approved Unaccompanied Refugee Minor’s Resettlement program at age 18 or older?

If you are not eligible for either program you will be evaluated for other Medicaid programs.

Medical Consent

When you were placed in foster care, the court or DFPS chose somebody to consent to, or agree with, medical decisions recommended by your doctor. When you turn 16, or if you were already 16 when you came into care, you have the right to request to make some or all of your own medical decisions. For more information, read:

Or, visit this web page in the CPS section of the DFPS website.

Finding Community Health Centers, Clinics, and Hospitals

Texas is a big state and there are several ways to find hospitals, health clinics, and community health centers wherever you live.

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