Social Security disability
Disability benefits in Texas
Social Security rules are the same in every state. This page covers what is different in Texas: who decides your claim, state money added to SSI, Medicaid, hearings and free help.
You have 60 days to appeal each decision, plus 5 days for mail.
Who decides your claim in Texas?
Disability Determination Services (DDS)
Texas Health and Human Services decides the medical part of Social Security disability (SSDI) and SSI claims in Texas. Social Security makes the final decision on who gets benefits.
- Part of
- Texas Health and Human Services Commission (HHSC)
- Phone
- 512-437-8000 or 1-800-252-7009 (if you already filed a claim and want to give more information or ask about it)
Does Texas add money to SSI?
Social Security does not add any Texas state money to SSI checks. Social Security pays you the federal SSI amount.
Medicaid in Texas
If you get SSI in Texas, you also get Medicaid. You do not need a separate Medicaid application. Social Security sends your information to the state.
- Program
- Texas Medicaid
- Medicaid agency
- Texas Health and Human Services Commission (HHSC)
https://www.hhs.texas.gov/services/health/medicaid-chip
2-1-1 (2-1-1 Texas)
Medicaid for working people with disabilities: Medicaid Buy-In (MBI)
Medicaid Buy-In is Medicaid for people with disabilities who work and earn more than regular Medicaid allows. Your income can be up to 250% of the federal poverty level. Your countable resources must be $2,000 or less. You may have to pay a monthly premium. The premium is on a sliding scale based on your income. You get a Your Texas Benefits Medicaid card.
Medicare Savings Programs
Texas has Medicare Savings Programs that can help pay Medicare costs. Rules are in the HHSC handbook, Chapter Q: https://fhb.hhs.texas.gov/handbooks/medicaid-elderly-people-disabilities-handbook/chapter-q-medicare-savings-program
State disability and paid leave in Texas
Texas has no state-run short-term disability or paid medical leave program listed here.
Hearing offices and federal court in Texas
7 hearing offices serve Texas. Hearing office locator (Social Security)
Dallas, TX (Downtown) Hearing Office
Hearing office
- Address
- Harwood Center, Suite 2300, 1999 Bryan Street, Dallas, TX 75201
- Phone
- (866) 563-3885
- Fax
- (833) 648-0165
Dallas, TX (North) Hearing Office
Hearing office
- Address
- Building 9, Suite 500, 12790 Merit Drive, Dallas, TX 75251
- Phone
- (866) 331-7135
- Fax
- (833) 631-1014
Fort Worth, TX Hearing Office
Hearing office
- Address
- Federal Office Building, Room 9A27, 819 Taylor Street, Fort Worth, TX 76102
- Phone
- (866) 613-2744
- Fax
- (833) 985-2267
Houston, TX (North) Hearing Office
Hearing office
- Address
- 4015 Aldine Bender Road, Houston, TX 77032
- Phone
- (877) 850-7829
- Fax
- (833) 631-1018
Houston, TX (West) Hearing Office
Hearing office
- Address
- 9700 Richmond Avenue, Suite 200, Houston, TX 77042
- Phone
- (866) 779-5456
- Fax
- (833) 648-0167
Rio Grande Valley, TX Hearing Office
Hearing office
- Address
- Suite 200, 2009 West Jefferson Avenue, Harlingen, TX 78550
- Phone
- (877) 452-6985
- Fax
- (833) 702-0719
San Antonio, TX Hearing Office
Hearing office
- Address
- 10222 San Pedro Avenue, San Antonio, TX 78216
- Phone
- (855) 829-8915
- Fax
- (833) 694-0067
Federal district court
If you appeal to federal court, you file in the district court that covers your county.
U.S. District Court for the Northern District of Texas
Court help for people without a lawyer
Counties covered (100)
- Dallas
- Ellis
- Hunt
- Johnson
- Kaufman
- Navarro
- Rockwall
- Comanche
- Erath
- Hood
- Jack
- Palo Pinto
- Parker
- Tarrant
- Wise
- Callahan
- Eastland
- Fisher
- Haskell
- Howard
- Jones
- Mitchell
- Nolan
- Shackelford
- Stephens
- Stonewall
- Taylor
- Throckmorton
- Brown
- Coke
- Coleman
- Concho
- Crockett
- Glasscock
- Irion
- Menard
- Mills
- Reagan
- Runnels
- Schleicher
- Sterling
- Sutton
- Tom Green
- Armstrong
- Briscoe
- Carson
- Castro
- Childress
- Collingsworth
- Dallam
- Deaf Smith
- Donley
- Gray
- Hall
- Hansford
- Hartley
- Hemphill
- Hutchinson
- Lipscomb
- Moore
- Ochiltree
- Oldham
- Parmer
- Potter
- Randall
- Roberts
- Sherman
- Swisher
- Wheeler
- Archer
- Baylor
- Clay
- Cottle
- Foard
- Hardeman
- King
- Knox
- Montague
- Wichita
- Wilbarger
- Young
- Bailey
- Borden
- Cochran
- Crosby
- Dawson
- Dickens
- Floyd
- Gaines
- Garza
- Hale
- Hockley
- Kent
- Lamb
- Lubbock
- Lynn
- Motley
- Scurry
- Terry
- Yoakum
U.S. District Court for the Southern District of Texas
Counties covered (43)
- Brazoria
- Chambers
- Galveston
- Matagorda
- Austin
- Brazos
- Colorado
- Fayette
- Fort Bend
- Grimes
- Harris
- Madison
- Montgomery
- San Jacinto
- Walker
- Waller
- Wharton
- Jim Hogg
- La Salle
- McMullen
- Webb
- Zapata
- Cameron
- Willacy
- Calhoun
- DeWitt
- Goliad
- Jackson
- Lavaca
- Refugio
- Victoria
- Aransas
- Bee
- Brooks
- Duval
- Jim Wells
- Kenedy
- Kleberg
- Live Oak
- Nueces
- San Patricio
- Hidalgo
- Starr
U.S. District Court for the Eastern District of Texas
Court help for people without a lawyer
Counties covered (43)
- Anderson
- Cherokee
- Gregg
- Henderson
- Panola
- Rains
- Rusk
- Smith
- Van Zandt
- Wood
- Hardin
- Jasper
- Jefferson
- Liberty
- Newton
- Orange
- Collin
- Cooke
- Delta
- Denton
- Fannin
- Grayson
- Hopkins
- Lamar
- Camp
- Cass
- Harrison
- Marion
- Morris
- Upshur
- Bowie
- Franklin
- Red River
- Titus
- Angelina
- Houston
- Nacogdoches
- Polk
- Sabine
- San Augustine
- Shelby
- Trinity
- Tyler
U.S. District Court for the Western District of Texas
Court help for people without a lawyer
Counties covered (68)
- Bastrop
- Blanco
- Burleson
- Burnet
- Caldwell
- Gillespie
- Hays
- Kimble
- Lampasas
- Lee
- Llano
- Mason
- McCulloch
- San Saba
- Travis
- Washington
- Williamson
- Bell
- Bosque
- Coryell
- Falls
- Freestone
- Hamilton
- Hill
- Leon
- Limestone
- McLennan
- Milam
- Robertson
- Somervell
- El Paso
- Atascosa
- Bandera
- Bexar
- Comal
- Dimmit
- Frio
- Gonzales
- Guadalupe
- Karnes
- Kendall
- Kerr
- Medina
- Real
- Wilson
- Edwards
- Kinney
- Maverick
- Terrell
- Uvalde
- Val Verde
- Zavala
- Brewster
- Culberson
- Jeff Davis
- Hudspeth
- Loving
- Pecos
- Presidio
- Reeves
- Ward
- Winkler
- Andrews
- Crane
- Ector
- Martin
- Midland
- Upton
Free help in Texas
Protection & Advocacy agency (P&A)
Disability Rights Texas
- Phone
- 512-454-4816 (toll-free 800-252-9108, video phone 866-362-2851)
Legal aid
- Legal Aid of NorthWest Texas · 1-888-529-5277
https://legalaidtx.org/ - Lone Star Legal Aid · 1-800-733-8394
https://www.lonestarlegal.org/ - Texas RioGrande Legal Aid (TRLA) · 956-996-8752
https://www.trla.org/
Vocational Rehabilitation (VR)
Texas Workforce Commission - Vocational Rehabilitation Program
- Phone
- 512-936-6400
Good to know in Texas
- Texas Medicaid Buy-In lets people with disabilities who work keep Medicaid with income up to 250% of the poverty level. Some people pay a monthly premium. (HHSC MEPD Handbook M-1200)
More RobinClaim guides for Texas → · All states
Sources
- SSA POMS SI 01415.010 - Administration of State Supplementary Programs (state table)
- SSA POMS SI 01415.058 - Federally Administered Optional Supplementary Payment Programs for January 2026
- SSA POMS SI 01415.024 - States Electing to Maintain Mandatory Minimum Supplementary Payment Levels
- SSA POMS SI 01715.010 - Medicaid and the SSI Program
- Texas HHS - How to Pay for Services (disability determination, DDS phone numbers)
- Texas HHS - Medicaid and CHIP
- HHSC MEPD Handbook - Chapter M, Medicaid Buy-In Program
- HHSC MEPD Handbook - M-1200, Program Overview
- HHSC MEPD Handbook - M-4000, Resources
- Texas Workforce Commission - Vocational Rehabilitation Program
- Texas ABLE
- NDRN - Member Agencies (Texas)
- LSC - Our Grantees
- 28 U.S.C. §124 - Texas (govinfo)
- Social Security: office locator
- Social Security: hearing office locator
Last checked: November 2026