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

Who it's for

The Jack County Indigent Health Care Program (CIHCP) is required by Texas Health & Safety Code Chapter 61. Eligibility: Jack County resident age 18+; household income less than 21% of the Federal Poverty Level; not Medicaid-eligible. PRIMARY HOSPITAL: Faith Community Hospital (Jacksboro) — independent community hospital. United Regional Health Care System (Wichita Falls) is the major regional tertiary referral hospital for the entire NorTex region. Apply by calling Jack County at 940-567-2111.

What you'll need

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

Where to apply

What to say when you call

"Hello, I'm calling to ask about Jack 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 Jack County CIHCP application, proof of all household income, proof of Jack 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