Appendix XXXVIII, CCSE Region by Service Area

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Revision 25-2; Effective June 6, 2025

PSU Service AreaCountiesCCSE Mailbox
BexarAtascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina and Wilson CountiesRegion 8
DallasCollin, Dallas, Ellis, Hunt, Kaufman, Navarro and Rockwall CountiesRegion 3
El PasoEl Paso and Hudspeth CountiesRegion 10
HarrisAustin, Brazoria, Fort Bend, Galveston, Harris, Matagorda, Montgomery, Waller and Wharton CountiesRegion 6
HildalgoMaverick CountyRegion 8
Cameron, Duval, Hidalgo, Jim Hogg, McMullen, Starr, Webb, Willacy and Zapata CountiesRegion 11
JeffersonHardin, Jasper, Jefferson, Newton, Orange, Polk, San Jacinto and Tyler CountiesRegion 5
Chambers, Liberty and Walker CountiesRegion 6
LubbockCarson, Crosby, Deaf Smith, Floyd, Garza, Hale, Hockley, Hutchinson, Lamb, Lubbock, Lynn, Potter, Randall, Swisher and Terry CountiesRegion 1
Medicaid Rural Service Area (MRSA) – CentralComanche CountyRegion 2
Erath and Somervell CountiesRegion 3
Colorado CountyRegion 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 CountiesRegion 8
MRSA – NortheastMontague CountyRegion 2
Cooke, Fannin and Grayson CountiesRegion 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 CountiesRegion 4
Angelina, Houston, Nacogdoches, Sabine, San Augustine, Shelby, and Trinity CountiesRegion 5
MRSA - WestArmstrong, 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 CountiesRegion 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 CountiesRegion 2
Palo Pinto CountyRegion 3
Dimmit, Edwards, Frio, Kerr, Kinney, La Salle, Real, Uvalde, Val Verde and Zavala CountiesRegion 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 CountiesRegion 9
Brewster, Culberson, Jeff Davis and Presidio CountiesRegion 10
NuecesCalhoun, Goliad, Karnes, and Victoria CountiesRegion 8
Aransas, Bee, Brooks, Jim Wells, Kenedy, Kleberg, Live Oak, Nueces, Refugio and San Patricio CountiesRegion 11
TarrantDenton, Hood, Johnson, Parker, Tarrant and Wise CountiesRegion 3
TravisBastrop, Burnet, Caldwell, Fayette, Hays, Lee, Travis, and Williamson CountiesRegion 7