Transferring Medicaid from South Carolina to Texas
Plan on a close-and-reapply. South Carolina Medicaid only works while you live in South Carolina; once you land in Texas, your application goes to Texas Health and Human Services Commission. File it immediately after arriving, because processing takes time and coverage ties to the application date.
Official Texas Medicaid agency: Texas Health and Human Services Commission ↗ (application page)
Your step-by-step checklist
Before you move
- 1
Gather your documents before the move
You will reapply from scratch: proof of identity, income (pay stubs or award letters), your new address, and immigration documents if applicable.
- 2
Tell South Carolina Department of Health and Human Services you are leaving
Contact the Healthy Connections Medicaid Member Contact Center at (888) 549-0820 to report changes to your case, including an out-of-state move.
South Carolina Department of Health and Human Services ↗
Moving week
- 3
Time the closure to the end of your move month
Keep coverage through the month you travel. Your old state's coverage generally ends the month you stop being a resident.
After you arrive
- 4
Apply with Texas Health and Human Services Commission as soon as you arrive
There is no waiting period based on how long you have lived there — apply immediately. Processing: up to 45 days.
Online application ↗ - 5
Ask about retroactive coverage
Most states can cover eligible medical bills up to 3 months before your application date — ask when you apply if you had care during the gap.
South Carolina vs Texas: the numbers that decide it
| South Carolina (old state) | Texas (new state) | |
|---|---|---|
| Program name | Healthy Connections | Texas Medicaid |
| Agency | South Carolina Department of Health and Human Services | Texas Health and Human Services Commission |
| ACA Medicaid expansion | No — adults need a category | No — adults need a category |
| Adult income limit | not published as % FPL | not published as % FPL |
Verified 2026-08-08 (South Carolina) and 2026-08-08 (Texas) against the official sources cited below.
Moving with more than one benefit?
The checklist generator merges Medicaid, SNAP, WIC, unemployment, and TANF into one ordered to-do list for this exact move.
Build the full South Carolina → Texas checklistCommon questions
Can I use my South Carolina Medicaid in Texas while I wait?
Generally no. South Carolina Medicaid only pays providers for South Carolina residents, and out-of-state care is limited to emergencies. Once you live in Texas, you need Texas coverage — apply immediately and ask about retroactive coverage for bills in the gap.
Is there a waiting period for Medicaid in Texas?
No. States cannot impose a minimum-residency waiting period. You qualify (or not) on Texas's income and category rules from the day you become a resident. The application itself takes up to 45 days.
Can I have Medicaid in two states at once?
No. You can only receive Medicaid from the state where you live. Keeping an old case open while opening a new one can create repayment problems — close the South Carolina case effective your move month.
Where do I actually apply in Texas?
Through Texas Health and Human Services Commission (online application linked above). Official Medicaid pages for both states are cited at the bottom of this page.
Related guides
- Moving back: Texas to South Carolina Medicaid
- Medicaid in South Carolina: leaving or arriving
- Medicaid in Texas: leaving or arriving
- Moving with Medicaid: every state
- South Carolina to California Medicaid
- South Carolina to Florida Medicaid
- South Carolina to New York Medicaid
- South Carolina to North Carolina Medicaid
Official sources
Every fact above was checked against these official pages. Last verified.
- SCDHHS — Getting Started (how to apply) — accessed 2026-08-08
- SCDHHS — Program Eligibility and Income Limits — accessed 2026-08-08
- Your Texas Benefits — apply online and report changes — accessed 2026-08-08
- Texas HHS — Medicaid and CHIP — accessed 2026-08-08