reglab/statecodes huggingface dataset:
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter C - PROGRAM ADMINISTRATION FOR THE REFUGEE CASH ASSISTANCE PROGRAM (RCA) › Section 375.323 - What happens if a participant has a child after arriving in the U.S.?

Current through Reg. 49, No. 28; July 12, 2024
If a participant has a child after arriving in the U.S.,
					 the contractor must refer the family to the Texas Department of Human Services
					 (DHS) for a Temporary Assistance for Needy Families (TANF) eligibility
					 determination before continuing with RCA benefits. If categorically ineligible
					 for TANF, the size of the family unit changes and the contractor will calculate
					 benefits based on the revised family unit size effective the month of
					 birth.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter C - PROGRAM ADMINISTRATION FOR THE REFUGEE CASH ASSISTANCE PROGRAM (RCA) › Section 375.325 - Can a contractor consider participants as a family unit if they do not live together?

Current through Reg. 49, No. 28; July 12, 2024
No, participants must live together to be considered a
					 family unit.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter C - PROGRAM ADMINISTRATION FOR THE REFUGEE CASH ASSISTANCE PROGRAM (RCA) › Section 375.327 - If two or more unrelated participants live together, are they considered a family unit?

Current through Reg. 49, No. 28; July 12, 2024
No, the contractor must consider unrelated participants who
					 live together individually for benefits.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter C - PROGRAM ADMINISTRATION FOR THE REFUGEE CASH ASSISTANCE PROGRAM (RCA) › Section 375.329 - What is the start date for benefits for approved applicants entering the program?

Current through Reg. 49, No. 28; July 12, 2024
The contractor must issue payment for the month of
					 application for an approved applicant entering the program at anytime during
					 his Refugee Cash Assistance (RCA) time period of eligibility. If the approved
					 applicant remains eligible, he will receive benefits for each of the remaining
					 months during the RCA time period of eligibility. The contractor cannot issue
					 benefit payments for months during the time period of eligibility that preceded
					 the month of initial application for RCA.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter C - PROGRAM ADMINISTRATION FOR THE REFUGEE CASH ASSISTANCE PROGRAM (RCA) › Section 375.331 - What payment levels and types of payments will the contractor use when providing cash assistance?

Current through Reg. 49, No. 28; July 12, 2024
Benefit payments made during the first four months of the
					 eligibility time period may be a combination of cash and vendor payments.
					 Benefit payments made during months five through eight will be cash. Payment
					 levels are established by the Texas Department of Human Services (DHS) and
					 approved by the Office of Refugee Resettlement (ORR). DHS will update payment
					 levels as needed and will publish them in the Refugee Cash Assistance Provider
					 Manual, and in the DHS State Plan for Refugee Services submitted annually to
					 ORR.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter C - PROGRAM ADMINISTRATION FOR THE REFUGEE CASH ASSISTANCE PROGRAM (RCA) › Section 375.333 - Who is eligible to receive an incentive payment?

Current through Reg. 49, No. 28; July 12, 2024
Refugees who are employed at any point within the first
					 three months after arrival or after the date asylum was granted and have been
					 employed at least 35 hours per week for at least 30 continuous days are
					 eligible for an incentive payment of $150.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter C - PROGRAM ADMINISTRATION FOR THE REFUGEE CASH ASSISTANCE PROGRAM (RCA) › Section 375.335 - How is the incentive payment disbursed for a family unit larger than one?

Current through Reg. 49, No. 28; July 12, 2024
For family units larger than one, the contractor will grant
					 an incentive in the amount of $150 when the first participant in the family
					 unit meets the incentive requirements. The contractor will make an additional
					 reduced incentive payment as described in the provider manual payment schedule
					 as each additional member of the family unit meets the
					 requirements.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter C - PROGRAM ADMINISTRATION FOR THE REFUGEE CASH ASSISTANCE PROGRAM (RCA) › Section 375.337 - What happens if a participant is underpaid?

Current through Reg. 49, No. 28; July 12, 2024
The contractor must correct underpayments to participants
					 within 10 working days of recognizing the error.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter C - PROGRAM ADMINISTRATION FOR THE REFUGEE CASH ASSISTANCE PROGRAM (RCA) › Section 375.339 - What happens if a participant is overpaid?

Current through Reg. 49, No. 28; July 12, 2024
(a) If a participant is overpaid, the
				  contractor must make every reasonable effort to arrange repayment. Contractors
				  must arrange a repayment plan with the participant. The repayment plan may not
				  require a payment of more than 10% of the total overpayment amount during any
				  month. A contractor may not require a repayment be made during a month that
				  would result in undue financial hardship. Repayments by participants continuing
				  on the program may be made through a deduction in benefits.
(b) What are reasonable efforts? Reasonable
				  efforts must include notifying the participant of the amount of overpayment,
				  the reason for the overpayment, and that repayment is required.
(c) What are the exceptions?
(1) Contractors do not have to attempt
				  arranging repayment if the participant is no longer receiving benefits and the
				  overpayment amount is less than $35.
(2) Contractors do not have to arrange
				  repayment if the participant is no longer receiving benefits and the
				  overpayment is greater than $35 if:
(A) every
				  reasonable effort has been made to arrange repayment and
(B) it is no longer cost-effective to
				  continue overpayment recovery efforts.
(3) If the overpayment is the result of
				  nondisclosure of information or fraud, the contractor must make every effort to
				  recover the overpayment, regardless of the amount. Repayment arrangements under
				  this condition are not subject to the 10% maximum monthly repayment ceiling;
				  however, repayment arrangements must not result in undue financial
				  hardship.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter C - PROGRAM ADMINISTRATION FOR THE REFUGEE CASH ASSISTANCE PROGRAM (RCA) › Section 375.341 - Are contractors responsible for translating materials for participants?

Current through Reg. 49, No. 28; July 12, 2024
(a) The Texas
				  Department of Human Services (DHS) will provide contractors with translated
				  participant rights and responsibilities. Contractors are responsible for
				  distributing the translated materials in appropriate languages. If translated
				  written material is not available, the contractor must provide an oral
				  translation of the material.
(b)
				  Participant's rights and responsibilities include, but are not limited to:
(1) review of adverse benefit determinations
				  resulting from a sanction;
(2) a
				  fair hearing to appeal any adverse benefit determinations;
(3) timely and adequate notice of benefit
				  determinations and/or changes in benefits; and
(4) written policies of the Refugee Cash
				  Assistance Program regarding eligibility standards, time period of eligibility,
				  amount of assistance, participation and employment requirements, and penalties
				  for non-cooperation.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter C - PROGRAM ADMINISTRATION FOR THE REFUGEE CASH ASSISTANCE PROGRAM (RCA) › Section 375.343 - What information and materials must a contractor provide to the participant upon enrollment?

Current through Reg. 49, No. 28; July 12, 2024
Contractors are responsible for advising and giving the
					 participant the notice of all participant rights and responsibilities for
					 acceptance of cash assistance, as well as the right to have a fair
					 hearing.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter C - PROGRAM ADMINISTRATION FOR THE REFUGEE CASH ASSISTANCE PROGRAM (RCA) › Section 375.345 - What procedures must a contractor follow when authorizing or denying an applicant benefits?

Current through Reg. 49, No. 28; July 12, 2024
Contractors must follow procedures established by federal
					 regulations as described in the provider manual when authorizing or denying
					 benefits. This includes, but is not limited to, giving the participant written
					 notice that:
(1) clearly states the
				  action, the reasons for the action, and the right to a hearing in the case of
				  denial; and
(2) clearly states that
				  the notice is for the Refugee Cash Assistance Program and not any other
				  program.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter C - PROGRAM ADMINISTRATION FOR THE REFUGEE CASH ASSISTANCE PROGRAM (RCA) › Section 375.347 - When may a contractor reduce, suspend, or terminate benefits?

Current through Reg. 49, No. 28; July 12, 2024
Contractors may reduce, suspend, or terminate benefits
					 when:
(1) the size of a participant's
				  family unit changes; or
(2) a
				  participant does not fulfill employment requirements.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter C - PROGRAM ADMINISTRATION FOR THE REFUGEE CASH ASSISTANCE PROGRAM (RCA) › Section 375.349 - What must a contractor do when reducing, suspending, or terminating benefits?

Current through Reg. 49, No. 28; July 12, 2024
Contractors must follow procedures established by federal
					 regulations in
					 RSA 400.54 as
					 described in the Texas Refugee Cash Assistance Provider Manual when denying,
					 reducing, suspending, or terminating benefits.
(1) If the action is taken because of a
				  change in the size of the family unit, the contractor must give the participant
				  written notice that:
(A) clearly states the
				  action, the reasons for the action, and the right to a hearing;
(B) clearly states that the notice is for the
				  Refugee Cash Assistance Program (RCA) and not any other program; and
(C) is postmarked or provided in person to
				  the participant at least 10 days before the effective date of the
				  change.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter C - PROGRAM ADMINISTRATION FOR THE REFUGEE CASH ASSISTANCE PROGRAM (RCA) › Section 375.351 - Can a contractor reduce, suspend, or terminate cash assistance if the participant requests a hearing?

Current through Reg. 49, No. 28; July 12, 2024
(a) No,
				  if the participant requests a hearing, the contractor cannot reduce, suspend,
				  or terminate cash assistance until the hearing process is complete and a final
				  decision has been made.
(b) If the
				  contractor's action is upheld, a participant may have to repay assistance that
				  was given during the hearing process.
(c) Participants can request that payments be
				  held until a final hearing decision has been reached to avoid possible
				  repayment.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter C - PROGRAM ADMINISTRATION FOR THE REFUGEE CASH ASSISTANCE PROGRAM (RCA) › Section 375.353 - How must contractors participate in coordination activities with other refugee providers?

Current through Reg. 49, No. 28; July 12, 2024
Contractors must actively participate in coordination
					 activities involving the Office of Immigration and Refugee Affairs, Mutual
					 Assistance Associations, and other ethnic representatives to ensure that
					 services are:
(1) appropriate to the
				  linguistic and cultural needs of the incoming populations; and
(2) coordinated with the longer term
				  resettlement services frequently provided by ethnic community organizations
				  after Refugee Cash Assistance eligibility has ended.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter D - REFUGEE CASH ASSISTANCE PARTICIPANT REQUIREMENTS › Section 375.401 - What is the purpose of this subchapter?

Current through Reg. 49, No. 28; July 12, 2024
This subchapter contains the requirements Refugee Cash
					 Assistance participants must meet in order to receive or continue benefits.
					 Contractors are required to enforce all participant
					 requirements.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter D - REFUGEE CASH ASSISTANCE PARTICIPANT REQUIREMENTS › Section 375.403 - Are there employment requirements for participants in this program?

Current through Reg. 49, No. 28; July 12, 2024
Yes, participants must continuously meet all requirements
					 established by federal regulations that include:
(1) registering for employment
				  services;
(2) participating, within
				  30 days of receipt of aid, in employability service programs that may include
				  job and language training, as indicated in the participant's employability plan
				  developed by the employment provider;
(3) going to job interviews; and
(4) accepting appropriate offers of
				  employment.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter D - REFUGEE CASH ASSISTANCE PARTICIPANT REQUIREMENTS › Section 375.405 - What are the exemptions for employment participation requirements?

Current through Reg. 49, No. 28; July 12, 2024
Participants are exempt from the employment requirements if
					 they are a:
(1) single parent or
				  caretaker of a child under age one;
(2) single parent or caretaker who is needed
				  in the home to care for a disabled child in the family unit;
(3) participant who is needed in the home to
				  care for a disabled adult who is in the family unit and is disabled for more
				  than 180 days;
(4) single
				  grandparent age 50 or over who is a caretaker for a child under age
				  three;
(5) participant who is
				  disabled for more than 180 days;
(6) participant who is unable to work as a
				  result of pregnancy;
(7)
				  participant who is age 60 or older;
(8) participant under age 16 who is not a
				  caretaker or second parent; or
(9)
				  participant who is age 16 through 18 years old attending elementary, secondary,
				  vocational, or technical school full-time.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter D - REFUGEE CASH ASSISTANCE PARTICIPANT REQUIREMENTS › Section 375.407 - What are the temporary good cause exemptions from employment participation requirements?

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Participants may be eligible for a two-month temporary good cause exemption
				  from employment requirements if they are:
(1)
				  needed at home to care for an ill or temporarily disabled child or adult in the
				  family unit. The caretaker must provide a current medical statement from a
				  doctor to claim this exemption unless the child/adult receives a temporary
				  government disability benefit;
(2)
				  temporarily disabled when the incapacity is expected to last 180 days or less.
				  A current medical statement from a doctor must be provided to claim this
				  exemption; or
(3) a victim of
				  family violence for whom participation would endanger the participant and/or
				  his children.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter D - REFUGEE CASH ASSISTANCE PARTICIPANT REQUIREMENTS › Section 375.409 - What happens if a non-exempt participant fails to meet employment requirements?

Current through Reg. 49, No. 28; July 12, 2024
(a) As required
				  by the
				  RSA
				  400.82(a), the
				  contractor must terminate assistance if an employable participant who does not
				  qualify for an exemption fails or refuses to meet employment requirements. The
				  contractor must follow the requirements in § 7.349 of this title (relating
				  to What must a contractor do when reducing, suspending, or terminating
				  benefits?).
(b) Termination of
				  assistance under this provision will remain in effect for three payment months
				  for the first failure or refusal and six payment months for any subsequent
				  failure or refusal.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter D - REFUGEE CASH ASSISTANCE PARTICIPANT REQUIREMENTS › Section 375.411 - What happens to a family unit's benefits if one member of a family unit fails to meet employment requirements?

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  If an employable participant of a family unit, who does not qualify for a
				  permanent or temporary good cause exemption from employment requirements, does
				  not meet employment requirements then the amount of assistance given to the
				  family unit is reduced to the number of participants meeting the requirements.
				  The contractor must follow the requirements in § 7.349 of this title
				  (relating to What must a contractor do when reducing, suspending, or
				  terminating benefits?).
(b)
				  Termination of assistance under this provision will remain in effect for three
				  payment months for the first failure or refusal and six payment months for any
				  subsequent failure or refusal.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter D - REFUGEE CASH ASSISTANCE PARTICIPANT REQUIREMENTS › Section 375.413 - What action does a contractor take if an applicant voluntarily quits employment within 30 days of applying for Refugee Cash Assistance (RCA) benefits?

Current through Reg. 49, No. 28; July 12, 2024
If an employable applicant, who does not qualify for a
					 permanent or temporary good cause exemption from employment requirements,
					 voluntarily quits employment within 30 days or fewer before applying for
					 benefits, the contractor must deny benefits to the applicant. Denial of
					 assistance must follow the rule established under § 7.345 of this title
					 (relating to What procedures must a contractor follow when authorizing or
					 denying an applicant benefits?).
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter D - REFUGEE CASH ASSISTANCE PARTICIPANT REQUIREMENTS › Section 375.415 - What action does a contractor take if a participant voluntarily quits employment after enrolling in Refugee Cash Assistance (RCA) benefits?

Current through Reg. 49, No. 28; July 12, 2024
If an employable participant, who does not qualify for a
					 permanent or temporary exemption from employment requirements, quits employment
					 without good cause after enrolling in RCA, the contractor must terminate
					 benefits. Contractors must provide a written notice to the participant
					 explaining that benefits are being terminated and the reason for the action
					 following the guidelines in § 7.349 of this title (relating to What must a
					 contractor do when reducing, suspending, or terminating benefits?). Termination
					 of benefits will remain in effect for three payment months for the first
					 sanction and six payment months for any subsequent sanction.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter D - REFUGEE CASH ASSISTANCE PARTICIPANT REQUIREMENTS › Section 375.417 - If a Refugee Cash Assistance (RCA) contractor denies, terminates, or reduces benefits, how may an applicant or participant appeal the decision?

Current through Reg. 49, No. 28; July 12, 2024
(a) An applicant or participant may appeal a
				  decision by the following methods:
(1) The
				  participant has the right to appeal to the Texas Department of Human Services
				  (DHS), at which time a hearing will take place. The request for a hearing must
				  be made within 10 days of the contractor's decision. Final administrative
				  action must be taken within 60 days of the date of request for the
				  hearing.
(2) An applicant or
				  participant may follow the internal appeal procedures of the
				  contractor.
(3) An applicant or
				  participant may have the appeal forwarded to a statewide review board comprised
				  of representatives from refugee service providers. The request for review by
				  the review board must be made within four days of the contractor's decision.
				  The review board must begin reviewing the request within 10 days of the
				  contractor's decision. The review process may not exceed 30 days from the date
				  of the contractor's decision.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter D - REFUGEE CASH ASSISTANCE PARTICIPANT REQUIREMENTS › Section 375.419 - If a participant's benefits are denied, terminated, or reduced because the employment provider has reported that the participant is not meeting the employment requirements of the program, how can a participant appeal the decision?

Current through Reg. 49, No. 28; July 12, 2024
(a) A participant
				  may appeal the decision by the following methods:
(1) A participant has the right to appeal to
				  the Texas Department of Human Services (DHS), at which time a hearing will take
				  place. The request for a hearing must be made within 10 days of the
				  contractor's decision. Final administrative action must be taken within 60 days
				  of the date of request for the hearing.
(2) The participant may follow the internal
				  appeal procedures of the employment contractor.
(3) The participant may attempt resolution by
				  requesting a mediation period. The request for mediation must be made to the
				  Refugee Cash Assistance (RCA) contractor within four days of the dated notice
				  of adverse action. The RCA contractor must begin working on a resolution within
				  10 days following the adverse action. The mediation process may not exceed 30
				  days from the date of the adverse action. If the RCA contractor or the
				  participant determines that the dispute cannot be resolved, either may
				  terminate the resolution process.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter E - REFUGEE MEDICAL ASSISTANCE › Section 375.501 - What is the purpose of this subchapter?

Current through Reg. 49, No. 28; July 12, 2024
This subchapter governs the Refugee Medical Assistance
					 Program administered by the Texas Health and Human Services Commission
					 (HHSC).
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter E - REFUGEE MEDICAL ASSISTANCE › Section 375.503 - Who is eligible for Refugee Medical Assistance (RMA) benefits?

Current through Reg. 49, No. 28; July 12, 2024
RMA is restricted to individuals who meet the eligibility
					 requirements listed in this section:
(1) meet immigration status and
				  identification requirements in Subpart D of 45 CFR Part 400 and who can provide
				  documentation of one of the following statuses from the Immigration and
				  Naturalization Service:
(A) paroled as a
				  refugee or asylee under §212(d) of the Immigration and Nationality Act
				  (INA);
(B) admitted as a refugee
				  under §207 of the INA;
(C)
				  granted asylum under §208 of the INA;
(D) admitted as a Cuban or Haitian entrant in
				  accordance with requirements in 45 CFR Part 401;
(E) admitted as an Amerasian from Vietnam
				  pursuant to Section 584 of the Foreign Operations, Export Financing, and
				  Related Programs Appropriations Act, 1988 (as contained in Section 101(e) of
				  Public law 100-202 and amended by the ninth proviso under Migration and Refugee
				  Assistance in Title II of the Foreign Operation, Export, Financing, and Related
				  Programs Appropriations Acts, 1989 (Public Law 100-461 as
				  amended));
(F) victims of a severe
				  form of trafficking; or
(G)
				  designated as eligible by the director of the Office of Refugee Resettlement
				  (ORR);
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter E - REFUGEE MEDICAL ASSISTANCE › Section 375.505 - How does a person apply for Refugee Medical Assistance (RMA)?

Current through Reg. 49, No. 28; July 12, 2024
An individual can apply for RMA by contacting the
					 designated HHSC office.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter E - REFUGEE MEDICAL ASSISTANCE › Section 375.507 - Are Refugee Medical Assistance (RMA) applicants required to apply for Refugee Cash Assistance (RCA)?

Current through Reg. 49, No. 28; July 12, 2024
HHSC does not require an applicant for RMA to apply for RCA
					 as a condition of eligibility.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter E - REFUGEE MEDICAL ASSISTANCE › Section 375.509 - Are there special considerations when Refugee Cash Assistance (RCA) participants apply for Refugee Medical Assistance (RMA)?

Current through Reg. 49, No. 28; July 12, 2024
All participants enrolled in RCA who are not eligible for
					 Medicaid are eligible for RMA.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter E - REFUGEE MEDICAL ASSISTANCE › Section 375.511 - Who determines eligibility for Refugee Medical Assistance (RMA)?

Current through Reg. 49, No. 28; July 12, 2024
HHSC staff determine eligibility for RMA.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter E - REFUGEE MEDICAL ASSISTANCE › Section 375.513 - How is the beginning date of the eight-month period of eligibility for Refugee Medical Assistance (RMA) benefits determined?

Current through Reg. 49, No. 28; July 12, 2024
The beginning date of the eligibility for RMA benefits is
					 determined as follows:
(1) for
				  refugees, the date of arrival to the United States, as stamped on the
				  individual's Form I-94;
(2) for
				  asylees, the date that a final grant of asylum was made;
(3) for victims of a severe form of
				  trafficking, the date on the certification letter signed by the director of the
				  Office of Refugee Resettlement (ORR);
(4) for Cuban and Haitian entrants, the date
				  on the individual's Form I-94, or other entry document as specified by ORR and
				  indicated in the Texas Refugee Cash Assistance Provider Manual;
(5) for Amerasians, the date of arrival to
				  the United States, as stamped on Form I-94, or other entry document as
				  specified by ORR and indicated in the Texas Refugee Cash Assistance Provider
				  Manual.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter E - REFUGEE MEDICAL ASSISTANCE › Section 375.515 - What are the income and resource considerations for Refugee Medical Assistance (RMA) eligibility?

Current through Reg. 49, No. 28; July 12, 2024
(a) RMA follows
				  the income considerations described in Subchapter F of this chapter (relating
				  to Modified Adjusted Gross Income Methodology) and resource considerations in
				  Chapter 366, Subchapter H of this title (relating to Medically Needy Program).
				  The following are disregarded when determining RMA eligibility:
(1) any in-kind services and shelter provided
				  to an applicant by a non-spousal sponsor or local resettlement agency;
				  and
(2) any cash assistance
				  payments provided to an applicant.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter E - REFUGEE MEDICAL ASSISTANCE › Section 375.517 - How does having a child after arrival affect Refugee Medical Assistance (RMA) benefits?

Current through Reg. 49, No. 28; July 12, 2024
(a) If a refugee
				  has a child after arriving in the United States and the child is not the result
				  of marriage to a United States citizen, the child is eligible for RMA as long
				  as the parent(s) are eligible.
(b)
				  The family unit must be determined ineligible for Medicaid to remain on
				  RMA.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter E - REFUGEE MEDICAL ASSISTANCE › Section 375.519 - If two or more unrelated applicants live together, can they be certified as a family unit?

Current through Reg. 49, No. 28; July 12, 2024
No. Unrelated applicants must be certified
					 separately.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter E - REFUGEE MEDICAL ASSISTANCE › Section 375.521 - Are benefits continued if a participant's income increases due to employment?

Current through Reg. 49, No. 28; July 12, 2024
Yes. Income from employment does not affect Refugee Medical
					 Assistance (RMA) benefits. A recipient will continue to receive RMA until he
					 reaches the end of the time period of eligibility.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter E - REFUGEE MEDICAL ASSISTANCE › Section 375.523 - Is a refugee who has been terminated from Medicaid because of earnings eligible for Refugee Medical Assistance (RMA)?

Current through Reg. 49, No. 28; July 12, 2024
Yes. If a participant has been terminated from Medicaid
					 because of income from employment and is within the eligibility period for RMA,
					 HHSC will transfer Medicaid participants or family units to RMA without an RMA
					 eligibility determination.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter E - REFUGEE MEDICAL ASSISTANCE › Section 375.525 - What changes are Refugee Medical Assistance (RMA) participants required to report?

Current through Reg. 49, No. 28; July 12, 2024
RMA participants must report all changes within 10 days to
					 HHSC following the Medicaid reporting requirements under §
										RSA
					 366.743 of this title (relating to
					 Requirement to Report Changes).
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter E - REFUGEE MEDICAL ASSISTANCE › Section 375.527 - What services are provided under Refugee Medical Assistance (RMA)?

Current through Reg. 49, No. 28; July 12, 2024
HHSC provides the same services in the same manner and to
					 the same extent as provided under the state's Medicaid program. HHSC also
					 provides Refugee Health Screening through an interagency contract with the
					 Texas Department of State Health Services.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter E - REFUGEE MEDICAL ASSISTANCE › Section 375.529 - What happens if the refugee becomes covered by employer-provided insurance?

Current through Reg. 49, No. 28; July 12, 2024
HHSC will reduce Refugee Medical Assistance payments by the
					 amount of the third-party payment.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter E - REFUGEE MEDICAL ASSISTANCE › Section 375.531 - What notices will HHSC provide to Refugee Medical Assistance (RMA) participants?

Current through Reg. 49, No. 28; July 12, 2024
HHSC must provide notice to RMA participants that
					 assistance has been authorized because they are ineligible for Medicaid. HHSC
					 will specify whether the notice applies to RMA or Medicaid. HHSC will also
					 provide notice that participants have the right to appeal through the fair
					 hearings process.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter F - MODIFIED ADJUSTED GROSS INCOME METHODOLOGY › Section 375.601 - Purpose and Scope

Current through Reg. 49, No. 28; July 12, 2024
This subchapter establishes income eligibility requirements
					 for the Refugee Medical Assistance Program in accordance with §1902(e)(14)
					 of the Social Security Act (RSA
					 1396a(e)(14)).
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter F - MODIFIED ADJUSTED GROSS INCOME METHODOLOGY › Section 375.605 - Methodology

Current through Reg. 49, No. 28; July 12, 2024
(a) In general, HHSC determines income
				  eligibility for RMA subject to this subchapter by:
(1) determining the applicant's or
				  recipient's household composition in accordance with §
											RSA
				  375.607 of this subchapter (relating to
				  Determination of Household Composition);
(2) calculating the individual income for
				  each person in the applicant's or recipient's household composition in
				  accordance with §
											RSA
				  375.609 of this subchapter (relating to
				  Calculation of Individual Income);
(3) determining if the individual income of
				  each individual in the applicant's or recipient's household composition is
				  included in the calculation of household income in accordance with §
											RSA
				  375.611 of this subchapter (relating to
				  Determination Regarding Inclusion of Individual Income in the Household
				  Income); and
(4) calculating the
				  applicant's or recipient's household income in accordance with §
											RSA
				  375.613 of this subchapter (relating to
				  Calculation of Household Income).
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter F - MODIFIED ADJUSTED GROSS INCOME METHODOLOGY › Section 375.607 - Determination of Household Composition

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  To determine household composition, an individual is designated as:
(1) a taxpayer;
(2) a tax dependent who does not meet any
				  exceptions;
(3) a tax dependent who
				  meets one or more of the exceptions; or
(4) not a taxpayer or tax
				  dependent.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter F - MODIFIED ADJUSTED GROSS INCOME METHODOLOGY › Section 375.609 - Calculation of Individual Income

Current through Reg. 49, No. 28; July 12, 2024
HHSC calculates individual income in accordance with
					 Internal Revenue Code §36B(d)(2)(B), with adjustments for lump sum
					 payments, certain income of American Indians/Alaskan Natives, and scholarships,
					 awards, and fellowship grants used for education.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter F - MODIFIED ADJUSTED GROSS INCOME METHODOLOGY › Section 375.611 - Determination Regarding Inclusion of Individual Income in the Household Income

Current through Reg. 49, No. 28; July 12, 2024
(a) Individual
				  income is counted as part of the household income unless:
(1) the individual is a child who is included
				  in the household composition of a parent and is not required to file a federal
				  income tax return for the taxable year in which RMA eligibility is requested;
				  or
(2) the individual is a tax
				  dependent and is not required to file a federal income tax return for the
				  taxable year in which RMA eligibility is requested.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter F - MODIFIED ADJUSTED GROSS INCOME METHODOLOGY › Section 375.613 - Calculation of Household Income

Current through Reg. 49, No. 28; July 12, 2024
For each applicant, the household income is:
(1) the sum of the individual income for each
				  individual in the applicant's household composition as defined in §
										RSA
				  375.609 of this subchapter (relating to
				  Calculation of Individual Income) and §
										RSA
				  375.611 of this subchapter (relating to
				  Determination Regarding Inclusion of Individual Income in the Household
				  Income);
(2) less cash assistance
				  payments received from the applicant's VOLAG and income of the VOLAG or sponsor
				  as available to the applicant's household composition; and
(3) less a standard income disregard equal to
				  five percentage points of the Federal Poverty Level for the applicable
				  household size.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter F - MODIFIED ADJUSTED GROSS INCOME METHODOLOGY › Section 375.615 - Modification

Current through Reg. 49, No. 28; July 12, 2024
HHSC may modify or implement additional income eligibility
					 policies developed pursuant to this subchapter consistent with State and
					 Federal laws.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 375 - REFUGEE CASH ASSISTANCE AND MEDICAL ASSISTANCE PROGRAMS › Subchapter G - LOCAL RESETTLEMENT AGENCY REQUIREMENTS › Section 375.701 - Local Governmental and Community Input

Current through Reg. 49, No. 28; July 12, 2024
(a) For purposes of this subchapter, the
				  following definitions apply:
(1) Business
				  day--A day that is not a Saturday, Sunday, or federal legal holiday. In
				  computing a period of business days, the first day is excluded and the last day
				  is included. If the last day of any period is a Saturday, Sunday, or federal
				  legal holiday, the period is extended to include the next day that is not a
				  Saturday, Sunday, or federal legal holiday.
(2) HHSC--Texas Health and Human Services
				  Commission, or its designee.
(3)
				  Local resettlement agency--As defined by
				  RSA
				  400.2, means a local affiliate or
				  subcontractor of a national voluntary agency that has entered into a grant,
				  contract, or cooperative agreement with the United States Department of State
				  or other appropriate federal agency to provide for the reception and initial
				  placement of refugees in the United States.
(4) National voluntary agency--As defined by
				  RSA
				  400.2, means one of the national resettlement
				  agencies or a state or local government that has entered into a grant,
				  contract, or cooperative agreement with the United States Department of State
				  or other appropriate federal agency to provide for the reception and initial
				  placement of refugees in the United States.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 376 - REFUGEE SOCIAL SERVICES › Subchapter A - PURPOSE AND SCOPE › Section 376.101 - What is the basis of this chapter?

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  In the Refugee Act of 1980 (the Act), Pub. Law No.96-212, Congress codified and
				  strengthened the United States' historic policy of aiding individuals fleeing
				  persecution in their homelands. The Act provided a formal definition of
				  "refugee," which is found in the Immigration and Nationality Act (INA). In
				  addition, the Act provided the foundation for today's asylum adjudication
				  process and the development of an Office of Refugee Resettlement (ORR) within
				  the U.S. Department of Health and Human Services. ORR provides grants to states
				  to help refugees and other special populations, as outlined in ORR regulations,
				  in becoming economically and socially self-sufficient in their new homes in the
				  United States.
(b) The Texas
				  Department of Human Services, through its Office of Immigration and Refugee
				  Affairs, is the state agency designated to fund and facilitate a variety of
				  programs through grant contracts with state and community agencies in Texas.
				  The programs include but are not limited to cash and medical assistance,
				  employment preparation and job placement, skills training, English language
				  training, and social adjustment services.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 376 - REFUGEE SOCIAL SERVICES › Subchapter A - PURPOSE AND SCOPE › Section 376.102 - What is the purpose of this chapter?

Current through Reg. 49, No. 28; July 12, 2024
This chapter outlines the provisions of Refugee Social
					 Services and Targeted Assistance Grant programs to assure compliance with the
					 Code of Federal Regulations (CFR), Title 45, parts 400 and 401, issued by the
					 Office of Refugee Resettlement in the U.S. Department of Health and Human
					 Services. The Texas Department of Human Services manages contracts to provide
					 refugee social services in accordance with the provisions of this
					 chapter.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 376 - REFUGEE SOCIAL SERVICES › Subchapter A - PURPOSE AND SCOPE › Section 376.104 - Is the term "refugee" used throughout this chapter to designate all those eligible for refugee social services?

Current through Reg. 49, No. 28; July 12, 2024
Yes. The term "refugee" includes all persons eligible for
					 refugee social services as defined in § 9.307 of this chapter (relating to
					 Who is eligible for refugee social services?).
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 376 - REFUGEE SOCIAL SERVICES › Subchapter B - CONTRACTOR REQUIREMENTS › Section 376.201 - What is the purpose of this subchapter?

Current through Reg. 49, No. 28; July 12, 2024
This subchapter identifies the minimum requirements for
					 contracting with the Texas Department of Human Services to provide refugee
					 social services under Refugee Social Services and Targeted Assistance
					 grants.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 376 - REFUGEE SOCIAL SERVICES › Subchapter B - CONTRACTOR REQUIREMENTS › Section 376.203 - Who can apply for a refugee social services contract?

Current through Reg. 49, No. 28; July 12, 2024
(a) Any public or private organization may
				  apply for a contract if:
(1) it can provide
				  services that are culturally and linguistically compatible with a refugee's
				  language and cultural background;
(2) it is incorporated as either a nonprofit
				  or a for-profit organization and can produce the following documents to the
				  Texas Department of Human Services (DHS) upon request:
(A) articles of incorporation;
(B) by-laws;
(C) tax-exemption certification, if
				  applicable;
(D) board
				  minutes;
(E) financial
				  statements;
(F) informational
				  materials related to providing refugee services;
(G) case records; and
(H) other relevant material as described by
				  DHS.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 376 - REFUGEE SOCIAL SERVICES › Subchapter B - CONTRACTOR REQUIREMENTS › Section 376.205 - How are refugee social services contracts awarded?

Current through Reg. 49, No. 28; July 12, 2024
The Texas Department of Human Services awards refugee
					 social service contracts on a competitive basis to applicants who demonstrate
					 the greatest ability to effectively provide the requested services to the
					 targeted populations.