Benefits · Healthcare

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

Howard County Commissioners Court — administers the County Indigent Health Care Program under Texas Health & Safety Code Chapter 61; located in Big Spring

Who it's for

The Howard County Indigent Health Care Program (CIHCP) is required by Texas Health & Safety Code Chapter 61 for low-income residents who don't qualify for other state or federal healthcare programs. Eligibility: Howard County resident age 18+; household income less than 21% of the Federal Poverty Level (Texas statutory minimum); not Medicaid-eligible. Covers physician services, lab/x-ray, three prescriptions per month, and inpatient/outpatient hospital services through participating providers. PRIMARY HOSPITAL: Scenic Mountain Medical Center (Big Spring). Apply by calling Howard County at 432-264-2244.

Howard CIHCP at 21% FPL — very strict. Scenic Mountain Medical Center (Big Spring).

What you'll need

  • Completed Howard County CIHCP application
  • Proof of all household income
  • Proof of all household resources/assets
  • Proof of Howard County residency
  • Photo identification
  • Proof of uninsured status and Medicaid ineligibility

Where to apply

Apply online: official application

By phone: 432-264-2244

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.