State Policy/Initiative

Texas Medicaid and CHIP Reference Guide (2024)

Medicaid Buy-In for Adults

The Medicaid Buy-In (MBI) for Adults program offers low-cost Medicaid services to adults with disabilities who work. Adults may qualify if they meet all the following criteria:

  • They have a disability (the MBI program uses the Social Security disability guidelines to determine if applicants have a disability).
  • They are working and meet the income limits for the program.
  • They are not continuously living in a state institution or nursing facility.

The 2024 income limit for MBI is $3,138 per month. Countable assets must total no more than $2,000. Only earned income is counted toward this income limit. Unearned income is only considered in the calculation of the monthly premium, not eligibility.