Benefits · Healthcare

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

Freestone County Commissioners Court — administers CIHCP under Texas Health & Safety Code Chapter 61; located in Fairfield

Who it's for

The Freestone County Indigent Health Care Program (CIHCP) is required by Texas Health & Safety Code Chapter 61. Eligibility: Freestone County resident age 18+; household income less than 21% of the Federal Poverty Level; not Medicaid-eligible. PRIMARY HOSPITAL: ETMC (East Texas Medical Center) Fairfield serves Freestone County. Baylor Scott & White Hillcrest and Ascension Providence Waco are the regional tertiary referral hospitals — both have Patient Financial Assistance Programs (typically 200% FPL or broader). Apply by calling Freestone County at 903-389-2635.

Freestone CIHCP at 21% FPL — very strict. ETMC (East Texas Medical Center) Fairfield serves Freestone County. Baylor Scott & White Hillcrest + Ascension Providence (Waco) are regional tertiary referrals.

What you'll need

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

Where to apply

Apply online: official application

By phone: 903-389-2635

What to say when you call

"Hello, I'm calling to ask about Freestone County Indigent Health Care Program (CIHCP). I'd like to know whether I may qualify, what documents I need, and whether I can apply online, by mail, by phone, or in person. I understand I may need completed Freestone County CIHCP application, proof of all household income, proof of Freestone County residency — is anything else required? What is the best next step?"

Tip: have a pen ready, ask for the person's name, and write down any case or reference number they give you.

Renewals

annual recertification

Official source →Last verified · September 1, 2026

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