Benefits · Healthcare

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

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

Who it's for

The Hamilton County Indigent Health Care Program (CIHCP) is required by Texas Health & Safety Code Chapter 61. Eligibility: Hamilton County resident age 18+; household income less than 21% of the Federal Poverty Level; not Medicaid-eligible. PRIMARY HOSPITAL: Hamilton General Hospital (Hamilton) — county-owned community hospital. Baylor Scott & White Medical Center - Temple (Bell County) is the regional academic medical center / tertiary referral; AdventHealth Central Texas in Killeen is the other major regional referral. Both have Patient Financial Assistance Programs (typically 200% FPL or broader). Apply by calling Hamilton County at 254-386-3417.

Hamilton CIHCP at 21% FPL — very strict. Hamilton General Hospital (Hamilton) — county-owned community hospital. Baylor Scott & White Temple + AdventHealth Central Texas Killeen are regional tertiary referrals.

What you'll need

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

Where to apply

Apply online: official application

By phone: 254-386-3417

What to say when you call

"Hello, I'm calling to ask about Hamilton 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 Hamilton County CIHCP application, proof of all household income, proof of Hamilton 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 · August 29, 2026

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