Benefits · Healthcare

How to apply for Franklin County Indigent Health Care Program (CIHCP)

Franklin County Commissioners Court — administers the County Indigent Health Care Program under Texas Health & Safety Code Chapter 61; located in Mount Vernon

Who it's for

The Franklin County Indigent Health Care Program (CIHCP) is required by Texas Health & Safety Code Chapter 61 for low-income residents. Eligibility: Franklin County resident age 18+; household income less than 21% of the Federal Poverty Level; not Medicaid-eligible. PRIMARY HOSPITAL: ETMC Mount Vernon. CHRISTUS St. Michael Texarkana and Paris Regional Health are the major regional referral hospitals for the Ark-Tex region. Apply by calling Franklin County at 903-537-4252.

Franklin CIHCP at 21% FPL — very strict. ETMC Mount Vernon.

What you'll need

Completed Franklin County CIHCP application
Proof of all household income
Proof of Franklin County residency
Photo identification
Proof of uninsured status and Medicaid ineligibility

Where to apply

Apply online: official application

By phone: 903-537-4252

Renewals

annual recertification

Official source →Last verified · June 7, 2026

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Not legal or financial advice. The agency makes the final eligibility decision.