Benefits · Healthcare

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

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

Who it's for

The Shelby County Indigent Health Care Program (CIHCP) is required by Texas Health & Safety Code Chapter 61 for low-income residents. Eligibility: Shelby County resident age 18+; household income less than 21% of the Federal Poverty Level; not Medicaid-eligible. Covers physician services, lab/x-ray, three prescriptions per month, and inpatient/outpatient hospital services through participating providers. PRIMARY HOSPITAL: Shelby Regional Medical Center (Center). CHI St. Luke's Health Memorial (Lufkin) is the largest regional hospital network — also operates community hospitals in Livingston, Crockett, and San Augustine. For tertiary care, Houston-area hospitals (Memorial Hermann, Houston Methodist) are the typical further referral. Apply by calling Shelby County at 936-598-6361.

Shelby CIHCP at 21% FPL — very strict. Shelby Regional Medical Center (Center). CHI St. Luke's Health Memorial Lufkin is the regional hub.

What you'll need

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

Where to apply

Apply online: official application

By phone: 936-598-6361

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.