Short answer: Once every 12 months for children’s Medicaid and CHIP; the family must respond to HHSC’s renewal notice, and CHIP families must pay any enrollment fee again before coverage continues.
Federal rules require MAGI-based Medicaid (children, pregnant women, parents) to be renewed once every 12 months, and no more often. HHSC renews some cases automatically from data; others get a renewal packet that must be returned by the deadline.
For CHIP, the household must complete the renewal and pay the enrollment fee before the new 12-month period starts. Missing paperwork is one of the most common reasons eligible children lose coverage.
Practical tips for employees: keep the mailing address and phone current on YourTexasBenefits.com, open every HHSC letter, and keep confirmation numbers. If a child loses Medicaid or CHIP and the family wants the employer plan, the 60-day special enrollment clock runs from the termination date.