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

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.

People who qualify for one senior program often qualify for others. See everything you may qualify for — free, no SSN, about five minutes.

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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

By phone: 936-598-6361

What to say when you call

"Hello, I'm calling to ask about Shelby 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 Shelby County CIHCP application, proof of all household income, proof of household resources/assets — 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

Official source →Last verified · October 12, 2026

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

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