Texas Children’s Health Plan members or friends/family of a member who use their own vehicle to drive a member to a Medicaid-covered appointment, may be eligible for mileage reimbursement. The mileage reimbursement rate in Texas is $0.625 per mile.
Complete the form below to register as a driver. You must submit a driver registration form before asking for reimbursement. To register as a driver, you will need:
- Driver contact information (full name, mailing address, email, phone number)
- Driver’s license
- Non-family members will have a criminal history checks performed
- Vehicle insurance
- Banking information
If you have trouble viewing the form, please make sure that you are using the latest version of the Google Chrome browser. If you are still having issues, please download a printable version of the form. You may do this by visiting the Print Forms page.
To view our full Mileage Reimbursement Guidelines, please download them from our Print Forms page.
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