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Revision 25-2; Effective June 6, 2025
| PSU Service Area | Counties | CCSE Mailbox |
|---|---|---|
| Bexar | Atascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina and Wilson Counties | Region 8 |
| Dallas | Collin, Dallas, Ellis, Hunt, Kaufman, Navarro and Rockwall Counties | Region 3 |
| El Paso | El Paso and Hudspeth Counties | Region 10 |
| Harris | Austin, Brazoria, Fort Bend, Galveston, Harris, Matagorda, Montgomery, Waller and Wharton Counties | Region 6 |
| Hildalgo | Maverick County | Region 8 |
| Cameron, Duval, Hidalgo, Jim Hogg, McMullen, Starr, Webb, Willacy and Zapata Counties | Region 11 | |
| Jefferson | Hardin, Jasper, Jefferson, Newton, Orange, Polk, San Jacinto and Tyler Counties | Region 5 |
| Chambers, Liberty and Walker Counties | Region 6 | |
| Lubbock | Carson, Crosby, Deaf Smith, Floyd, Garza, Hale, Hockley, Hutchinson, Lamb, Lubbock, Lynn, Potter, Randall, Swisher and Terry Counties | Region 1 |
| Medicaid Rural Service Area (MRSA) – Central | Comanche County | Region 2 |
| Erath and Somervell Counties | Region 3 | |
| Colorado County | Region 6 | |
| Bell, Blanco, Bosque, Brazos, Burleson, Coryell, Falls, Freestone, Grimes, Hamilton, Hill, Lampasas, Leon, Limestone, Llano, Madison, McLennan, Milam, Mills, Robertson, San Saba and Washington Counties. | Region 7 | |
| DeWitt, Gillespie, Gonzales, Jackson and Lavaca Counties | Region 8 | |
| MRSA – Northeast | Montague County | Region 2 |
| Cooke, Fannin and Grayson Counties | Region 3 | |
| Anderson, Bowie, Camp, Cass, Cherokee, Delta, Franklin, Gregg, Harrison, Henderson, Hopkins, Lamar, Marion, Morris, Panola, Rains, Red River, Rusk, Smith, Titus, Upshur, Van Zandt and Wood Counties | Region 4 | |
| Angelina, Houston, Nacogdoches, Sabine, San Augustine, Shelby, and Trinity Counties | Region 5 | |
| MRSA - West | Armstrong, Bailey, Briscoe, Castro, Childress, Cochran, Collingsworth, Dallam, Dickens, Donley, Gray, Hall, Hansford, Hartley, Hemphill, King, Lipscomb, Moore, Motley, Ochiltree, Oldham, Parmer, Roberts, Sherman, Wheeler and Yoakum Counties | Region 1 |
| Archer, Baylor, Brown, Callahan, Clay, Coleman, Cottle, Eastland, Fisher, Foard, Hardeman, Haskell, Jack, Jones, Kent, Knox, Mitchell, Nolan, Runnels, Scurry, Shackelford, Stephens, Stonewall Taylor, Throckmorton, Wichita, Wilbarger, and Young Counties | Region 2 | |
| Palo Pinto County | Region 3 | |
| Dimmit, Edwards, Frio, Kerr, Kinney, La Salle, Real, Uvalde, Val Verde and Zavala Counties | Region 8 | |
| Andrews, Borden, Coke, Concho, Crane, Crockett, Dawson, Ector, Gaines, Glasscock, Howard, Irion, Kimble, Loving, Martin, Mason, McCulloch, Menard, Midland, Pecos, Reagan, Reeves, Schleicher, Sterling Sutton, Terrell, Tom Green, Upton, Ward and Winkler Counties | Region 9 | |
| Brewster, Culberson, Jeff Davis and Presidio Counties | Region 10 | |
| Nueces | Calhoun, Goliad, Karnes, and Victoria Counties | Region 8 |
| Aransas, Bee, Brooks, Jim Wells, Kenedy, Kleberg, Live Oak, Nueces, Refugio and San Patricio Counties | Region 11 | |
| Tarrant | Denton, Hood, Johnson, Parker, Tarrant and Wise Counties | Region 3 |
| Travis | Bastrop, Burnet, Caldwell, Fayette, Hays, Lee, Travis, and Williamson Counties | Region 7 |
