Indigent Health Care Program

Please note: CLOSED on Wednesdays.

Applications may be picked up (or downloaded from the left column) and returned to Rosa Linda Hough, IHCP Coordinator at the Gillespie County Courthouse, 101 W Main St, Mail Unit #14, Room B-104 (Basement) Monday, Tuesday, Thursday, and Friday between the hours of 8 am and 5 pm.

Gillespie County Indigent Healthcare Program is a county program that provides medically necessary health care benefits to individuals who meet the income, resource, residency, and household criteria; and who are categorically ineligible for the Texas Medicaid Program.

Please stop by the County Indigent Healthcare Office in the Courthouse or call 830-990-7567 to make an appointment to fill in an application and leave your name, mailing address and phone number if leaving a message.

GCIHC pays for covered services. Some services require prior approval to be covered. All services must be medically necessary. You may be responsible to pay for some services if you choose to receive services that are not covered or are not considered medically necessary.

Gillespie County is the payor of last resort. Applicants are not eligible for IHC benefits if they are eligible for any other federal, state, or private benefits, i.e.: Medicaid, Medicare, VA, CHIPS or other insurance. Program rules and eligibility standards are set by the State of Texas.

Application Forms

Note:  Some forms cannot be viewed in a web browser and must be downloaded first in order for you to open in Adobe Acrobat Reader on your desktop system to fill in and include signatures.

  1. Additional Benefits and Services for Eligible Veterans (PDF)
  2. Form 3064 Application (English) for Health Care Assistance (PDF)
  3. Form 3064 Application (Spanish) for Health Care Assistance (PDF)
  4. Form 3076 (English Version) Case Record Information Release (PDF)
  5. Form 3076 (Spanish Version) Case Record Information Release (PDF)
  6. Program Application Update (PDF)

Websites

Rules & Procedures 

Gillespie County will use rules and procedures found in the County Indigent Health Care Program Handbook published by the Texas Health and Human Services Commission.

The rules are as follows:

  1. Application forms must be completed.
  2. Verification of income, residence, household composition, and resources are required.
  3. Net income cannot exceed 21% of the eligible Federal Poverty Guideline.
  4. Liquid resources and assets cannot exceed $2,000. The equity value of a vehicle greater than $4650 is counted against the $2000 limit. Personal property and homestead are exempt assets.
  5. Eligible persons must be a resident of Gillespie County.
  6. Applicants must provide all requested information and documentation or applications will be denied.
  7. Applicants have the right to appeal adverse decisions.

Applications may be picked up (or downloaded from the Gillespie County website) and returned to Rosa Linda Hough, CIHCP Coordinator at the Gillespie County Courthouse, 101 W Main St, Mail Unit #14, Room 104-B (Basement) Monday, Tuesday, Thursday, Friday between the hours of 8 am to 5 pm. All calls received on Wednesday will be returned the next day. Gillespie County is the payor of last resort. Applicants are not eligible for benefits if they are eligible for any Federal, State or private benefits, i.e.: Medicaid, Medicare, VA, CHIP or other insurance. Program rules and eligibility standards are set by the State of Texas.