Health and Safety Code §61.007

The executive commissioner by rule shall require each applicant to provide at least the following information: (1) the applicant's full name and address; (2) the applicant's social security number, if available; (3) the number of persons in the applicant's household, excluding persons receiving Temporary Assistance for Needy Families, Supplemental Security Income, or Medicaid benefits; (4) the applicant's county of residence; (5) the existence of insurance coverage or other hospital or health care benefits for which the applicant is eligible; (6) any transfer of title to real property that the applicant has made in the preceding 24 months; (7) the applicant's annual household income, excluding the income of any household member receiving Temporary Assistance for Needy Families, Supplemental Security Income, or Medicaid benefits; and (8) the amount of the applicant's liquid assets and the equity value of the applicant's car and real property.