Benefits · Healthcare

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

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

Who it's for

The Madison County Indigent Health Care Program (CIHCP) is required by Texas Health & Safety Code Chapter 61 for low-income residents. Eligibility: Madison County resident age 18+; household income less than 21% of the Federal Poverty Level; not Medicaid-eligible. PRIMARY HOSPITAL: CHI St. Joseph Health Madison (Madisonville). CHI St. Joseph Health and Baylor Scott & White (Bryan-College Station) are the regional tertiary referral hospitals — both have Patient Financial Assistance Programs (typically 200% FPL or broader). Apply by calling Madison County at 936-348-2613.

Madison CIHCP at 21% FPL — very strict. CHI St. Joseph Health Madison (Madisonville). CHI St. Joseph and Baylor Scott & White Bryan-College Station are the tertiary referrals.

What you'll need

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

Where to apply

Apply online: official application

By phone: 936-348-2613

Renewals

annual recertification

Official source →Last verified · June 7, 2026

Not sure if you qualify? Run a free check first.

Find my benefits

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