Benefits · Healthcare

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

La Salle County Commissioners Court — administers the County Indigent Health Care Program under Texas Health & Safety Code Chapter 61; located in Cotulla

Who it's for

The La Salle County Indigent Health Care Program (CIHCP) is required by Texas Health & Safety Code Chapter 61 for low-income residents. Eligibility: La Salle County resident age 18+; household income less than 21% of the Federal Poverty Level; not Medicaid-eligible. PRIMARY HOSPITAL: Cotulla Hospital District (Cotulla). For regional tertiary care, Uvalde Memorial Hospital and Val Verde Regional Medical Center (Del Rio) are the typical referral hospitals; San Antonio hospitals (University Health, CHRISTUS) for complex care. Apply by calling La Salle County at 830-879-4040.

La Salle CIHCP at 21% FPL — very strict. Cotulla Hospital District (Cotulla). Val Verde Regional Medical Center (300% FPL FAP, Del Rio) is the regional generous referral.

What you'll need

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

Where to apply

Apply online: official application

By phone: 830-879-4040

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.