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 (90 if a disability decision is needed).
Online application ↗ - 5
Ask about retroactive coverage
Most states can pay eligible medical bills from as early as the third month before the month you apply, so ask when you apply if you had care during the gap. For applications filed on or after January 1, 2027, federal law (Public Law 119-21) shortens this to the month before the month you apply for adults in the expansion group and the second month before the month you apply for everyone else.
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 | no income-only route for adults | no income-only route for adults |
Monthly income limits by household size: South Carolina vs Texas
| Household size | South Carolina | Texas |
|---|---|---|
| 1 person | No income-only adult limit | No income-only adult limit |
| 2 people | No income-only adult limit | No income-only adult limit |
| 3 people | No income-only adult limit | No income-only adult limit |
| 4 people | No income-only adult limit | No income-only adult limit |
| 5 people | No income-only adult limit | No income-only adult limit |
| 6 people | No income-only adult limit | No income-only adult limit |
Limits for adults, computed from each state's published % of the 2026 HHS poverty guidelines and rounded up to the dollar. Children, pregnancy, and 65+/disability rules differ; each state's own chart controls and may still show 2025 figures. Full tables: South Carolina · Texas · 2026 poverty guidelines.
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 (90 if a disability decision is needed).
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 Mississippi Medicaid
- South Carolina to Nevada Medicaid
- South Carolina to Kansas Medicaid
- South Carolina to Maryland Medicaid
Other benefits on the same move
- SNAP: South Carolina to Texas
- WIC: South Carolina to Texas
- Unemployment: South Carolina to Texas
- TANF: South Carolina to Texas
Terms on this page: Federal poverty level (FPL) · Medicaid expansion · Retroactive Medicaid coverage
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