Texas Kidney Health Care Program: Your Guide to ESRD Support

The Texas Kidney Health Care (KHC) program is a vital state initiative designed to provide financial assistance to Texans living with end-stage renal disease (ESRD). This program ensures that eligible individuals can access crucial treatments and services necessary for managing their condition and maintaining their quality of life. If you or a loved one is facing ESRD in Texas, understanding the benefits and eligibility of the Texas Kidney Health Care Program is essential.

What Services Does the Texas Kidney Health Care Program Cover?

The texas kidney health care program offers a comprehensive range of benefits to help cover the costs associated with ESRD treatment. These services include:

  • Dialysis Treatments: Assistance with the expenses of life-sustaining dialysis treatments.
  • Access Surgery: Coverage for surgeries related to dialysis access, ensuring timely and necessary procedures.
  • Prescription Drugs: Financial aid for essential medications required for ESRD management.
  • Travel Reimbursement: Mileage reimbursement to help with transportation costs to and from dialysis facilities or transplant centers.
  • Medicare Premiums: Support in paying Medicare premiums, easing the financial burden of healthcare coverage.

For a detailed understanding of all covered services and program guidelines, you can consult the Kidney Health Care Client Handbook (PDF). Healthcare providers seeking more information can find resources at Kidney Health Care Providers.

Who is Eligible for the Texas Kidney Health Care Program?

Eligibility for the texas kidney health care program is based on specific criteria to ensure that assistance reaches those who need it most. To qualify for the program, individuals must meet the following requirements:

  • Residency: Be a resident of Texas.
  • Income Limit: Have an annual income of less than $60,000.
  • ESRD Diagnosis: Have a confirmed diagnosis of end-stage renal disease from a licensed physician.
  • Treatment Status: Be receiving regular dialysis treatments or have undergone a kidney transplant.
  • Medicare ESRD Definition: Meet Medicare’s definition of end-stage renal disease.
  • Medicaid Ineligibility: Not be eligible for Medicaid medical, drug, and travel benefits.

Accessible locations for the Texas Kidney Health Care Program in Texas: home, hospitals, and dialysis facilities.

How to Apply for the Texas Kidney Health Care Program

Applying for the texas kidney health care program involves a straightforward process with support available to guide you. The first step is to visit a KHC-participating outpatient dialysis facility, hospital, or U.S. Department of Veterans Affairs facility. Social workers at these facilities are specifically trained to assist you with the application process.

To initiate your application, your social worker will need to submit the necessary documentation on your behalf. Applications and supporting materials can be sent to KHC via:

Direct Deposit for Travel Reimbursement

To expedite and simplify the receipt of travel reimbursements, the texas kidney health care program offers a direct deposit option. Once your application is approved, you can complete the KHC Direct Deposit Authorization (PDF) form and submit it via fax, email, or mail using the contact information provided below.

Contact the Texas Kidney Health Care Program

For any questions or further assistance regarding the texas kidney health care program, do not hesitate to reach out through the following contact methods:

  • Phone: 800-222-3986 (8 a.m. to 5 p.m. Central Time, Monday through Friday)
  • Austin Local Phone: 512-776-7150
  • General Fax: 512-776-7162
  • Email: [email protected]
  • Mailing Address:
    Kidney Health Care
    Mail Code 1938
    P.O. Box 149030
    Austin, TX 78714-9947

Stay informed about program updates by signing up for email updates. The texas kidney health care program is committed to supporting Texans with ESRD in accessing the care they need.

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