Title V - Medical & Dental Services for Children and Adolescent

Medical- Services for Children and Adolescent (Birth - 21)

• Well-child checkups, physical examinations, and screening
• Immunizations
• Sick care
• Laboratory and diagnostic tests
• Education and counseling
• Case management as needed

Dental- Services for children and Adolescents (Birth to 21)

• Comprehensive and periodic oral evaluation
• Fluoride treatment
• Restorative treatment
• Sealant application
• Dental education and counseling

Eligibility:
Must be:

• Texas resident
• Income at or below 185% FPL
• Not eligible for other healthcare programs

Documentation for Family composition (Any of the documents below is accepted)

• Birth certificate
• School records
• Baptismal certificate
• Proof of family relationship and a copy of lease

Documentation for Income (Any of the documents below is accepted)

• Copies of most recent paychecks
• Employer’s written verification of gross monthly income
• Child support statement
• Unemployment benefit statement
• Notes/receipts of cash income

Documentation for Family composition (Any of the documents below is accepted)

• Texas Driver license
• Voter registration
• Rent or utility bill
• Motor vehicle registration
• School records
• Medical cards or another benefit cards
• Property tax receipt