reglab/statecodes huggingface dataset:
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter C - PREGNANT WOMEN'S MEDICAID › Section 366.319 - Child Support and Medical Support

Current through Reg. 49, No. 28; July 12, 2024
Applicants and recipients may volunteer to receive child
					 support or medical support services.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter C - PREGNANT WOMEN'S MEDICAID › Section 366.321 - Income Levels

Current through Reg. 49, No. 28; July 12, 2024
To be eligible for Pregnant Women's Medicaid, an applicant
					 or recipient must meet the income requirement established in §
										RSA 366.307 of
					 this subchapter (relating to Eligible Group).
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter C - PREGNANT WOMEN'S MEDICAID › Section 366.323 - Third-Party Resources

Current through Reg. 49, No. 28; July 12, 2024
Medicaid is considered the payor of last resort for a
					 person's medical expenses. As a condition of eligibility, in accordance with
					 RSA
					 433.138 -
					 RSA
					 433.148, an applicant or recipient
					 must:
(1) assign to HHSC the
				  applicant's or recipient's right to recover any third-party resources available
				  for payment of medical expenses covered under the Texas State Plan for Medical
				  Assistance; and
(2) report to HHSC
				  any third-party resource within 60 days after learning about the third-party
				  resource.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter C - PREGNANT WOMEN'S MEDICAID › Section 366.325 - Medical Eligibility Effective Dates

Current through Reg. 49, No. 28; July 12, 2024
HHSC determines the Medicaid eligibility effective dates
					 for an applicant as follows.
(1)
				  Medicaid coverage begins on the earliest day of the application month on which
				  the applicant meets all eligibility criteria.
(2) Retroactive coverage may begin as early
				  as three months before the application month.
(3) A recipient's coverage for Medicaid
				  remains effective through the twelfth month after the pregnancy ends.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter C - PREGNANT WOMEN'S MEDICAID › Section 366.327 - Resident of an Institution for Mental Diseases

Current through Reg. 49, No. 28; July 12, 2024
A person who lives in an institution for mental diseases,
					 as defined in
					 RSA
					 435.1010, is eligible for Medicaid payment
					 for Medicaid covered services received only while residing in the institution
					 for mental diseases to the extent allowed by federal law.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter C - PREGNANT WOMEN'S MEDICAID › Section 366.329 - Inmates of Public Institutions

Current through Reg. 49, No. 28; July 12, 2024
An inmate of a public institution, including a jail,
					 prison, reformatory, or other correctional or holding facility, as defined in
					 RSA
					 435.1009 and §
										RSA
					 435.1010, is not eligible for Medicaid
					 payment for Medicaid-covered services received while residing in the public
					 institution.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter C - PREGNANT WOMEN'S MEDICAID › Section 366.331 - Information from Other Agencies

Current through Reg. 49, No. 28; July 12, 2024
(a) HHSC
				  and other state and federal agencies compare the information they have stored
				  on computer files.
(b) After
				  comparing information with another agency, HHSC contacts the Medicaid applicant
				  or recipient if the information does not match so that HHSC can confirm the
				  correct information.
(1) If the mismatch of
				  information does not affect eligibility, HHSC does not take action to adjust or
				  deny Medicaid.
(2) If the mismatch
				  of information affects eligibility, HHSC takes appropriate action to adjust or
				  deny Medicaid and sends a written notice of action taken to the applicant or
				  recipient.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter C - PREGNANT WOMEN'S MEDICAID › Section 366.333 - Requirement to Report Changes

Current through Reg. 49, No. 28; July 12, 2024
(a) A recipient
				  must report:
(1) a change of address;
				  and
(2) termination of the
				  pregnancy.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter C - PREGNANT WOMEN'S MEDICAID › Section 366.335 - Right to Appeal

Current through Reg. 49, No. 28; July 12, 2024
(a) An applicant or
				  recipient has the right to appeal HHSC decisions. Appeals are governed by
				  HHSC's fair hearing rules contained in Chapter 357 of this title (relating to
				  Hearings).
(b) HHSC provides an
				  action notice regarding an HHSC decision to applicants and recipients. The
				  action notice includes information about how to file an appeal and the
				  availability of free legal representation.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter D - MEDICAID FOR BREAST AND CERVICAL CANCER › Section 366.401 - Purpose and Scope

Current through Reg. 49, No. 28; July 12, 2024
(a) This subchapter
				  establishes the eligibility criteria and participation requirements for
				  Medicaid for treatment of breast and cervical cancer, as authorized by
				  RSA
				  1396r-1b.
(b) Nothing in these rules shall be construed
				  to violate the maintenance of eligibility requirements of section 5001 of the
				  American Recovery and Reinvestment Act of 2009 (Public Law 111-5)
				  and make eligibility standards, methodologies, or procedures under the Texas
				  State Plan for Medical Assistance (or any waiver under section 1115 of the
				  Social Security Act (RSA 1315))
				  more restrictive than the eligibility standards, methodologies, or procedures,
				  respectively, under such plan (or waiver) that were in effect on July 1,
				  2008.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter D - MEDICAID FOR BREAST AND CERVICAL CANCER › Section 366.403 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in this
					 subchapter, have the following meanings, unless the context clearly indicates
					 otherwise.
(1) Applicant--A person
				  seeking assistance under the Medicaid for Breast and Cervical Cancer Program
				  (MBCC) who:
(A) has never received Medicaid
				  and is not currently receiving Medicaid; or
(B) previously received Medicaid but
				  subsequently was denied and reapplies for Medicaid.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter D - MEDICAID FOR BREAST AND CERVICAL CANCER › Section 366.405 - Eligible Group

Current through Reg. 49, No. 28; July 12, 2024
The eligible group consists of women screened and found to
					 need treatment for breast or cervical cancer through the Centers for Disease
					 Control and Prevention's National Breast and Cervical Cancer Early Detection
					 Program, created by Public
					 Law 101-354 and its amendments (Public Law
					 103-183 and
					 Public Law
					 105-340), and administered by the Texas Health and
					 Human Services Commission as the Breast and Cervical Cancer Services
					 Program.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter D - MEDICAID FOR BREAST AND CERVICAL CANCER › Section 366.407 - Eligibility Requirements

Current through Reg. 49, No. 28; July 12, 2024
To be eligible for Medicaid for Breast and Cervical Cancer,
					 an applicant must:
(1) be a woman
				  under 65 years of age;
(2) be:
(A) a citizen or national of the
				  U.S.;
(B) an alien who legally
				  entered the U.S. before August 22, 1996, and who meets the eligibility criteria
				  in RSA 1641(b) or
				  (c);
(C) an alien who legally entered the U.S. on
				  or after August 22, 1996, and who meets the eligibility criteria in
				  RSA
				  1612(b) and
				  §
											RSA
				  1613, except that a legal permanent resident
				  alien is eligible after residing in the U.S. for five years only if the alien
				  meets one of the following eligibility requirements:
(i) the alien is an honorably discharged
				  veteran or active duty military personnel;
(ii) the alien is a spouse, unmarried
				  surviving spouse, or minor unmarried child of an honorably discharged veteran
				  or active duty military personnel (if a surviving spouse of a deceased veteran
				  or active duty military person, the surviving spouse must not have
				  remarried);
(iii) the alien entered
				  the U.S. before August 22, 1996, and remained continuously present in the U.S.
				  (a single absence from the U.S. of more than 30 days or a combined absence of
				  more than 90 days interrupts the "continuous presence") since at least August
				  21, 1996, until obtaining qualifying immigrant status (an alien who entered the
				  U.S. without proper documents or overstayed his or her visa, is treated the
				  same as an alien who entered and remained in the U.S. with valid immigration
				  documents);
(iv) the alien entered
				  the U.S. with a status described in the
Texas Works Handbook,
Item A-342, Chart C and meets those eligibility criteria, or meets the criteria
				  in the
Texas Works Handbook,
Item A-343, How to Determine
				  Eligibility for Battered Aliens; or
(v) the alien meets the 40 qualifying
				  quarters requirements in the
Texas Works Handbook,
Item A-354,
				  Verifying 40 "Qualifying Quarters," and five years have passed since the
				  alien's legal date of entry; or
(D) an alien child 18 years of age or under
				  who meets the definition of a qualified alien at
				  RSA
				  1641(b);
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter D - MEDICAID FOR BREAST AND CERVICAL CANCER › Section 366.409 - Application Requirements and Processing

Current through Reg. 49, No. 28; July 12, 2024
(a) An applicant is identified through the
				  Texas Health and Human Services Commission (HHSC) Breast and Cervical Cancer
				  Services (BCCS) Program.
(b) A BCCS
				  Program provider, acting only to the extent permitted by applicable scope of
				  licensure laws under the Texas Occupations Code, screens and diagnoses
				  qualifying medical conditions and makes a determination of presumptive
				  eligibility.
(c) BCCS Program
				  providers have been designated as qualified entities for presumptive
				  eligibility determinations.
(d) A
				  BCCS Program provider sends the applicant's application packet containing the
				  provider's determination of presumptive eligibility and an application for
				  assistance to HHSC within five working days after the date the presumptive
				  eligibility determination is made. HHSC determines eligibility no later than 15
				  days from the application's file date.
(e) The period of presumptive Medicaid
				  eligibility is specified in 42 U.S.C. §
											1396r-1b(b)(1) as
				  beginning with the date a qualified entity determines eligibility under the
				  State Plan, based upon preliminary information, and ends with (and includes)
				  the earlier of:
(1) the date an eligibility
				  determination is made by HHSC; or
(2) the last day of the month following the
				  month presumptive eligibility was determined.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter D - MEDICAID FOR BREAST AND CERVICAL CANCER › Section 366.411 - Medicaid Eligibility Effective Date

Current through Reg. 49, No. 28; July 12, 2024
The period of coverage begins no earlier than the day after
					 screening and diagnosis of the qualifying medical condition, and lasts for the
					 duration of the cancer treatment or until the woman no longer meets all
					 eligibility requirements, whichever is earlier.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter D - MEDICAID FOR BREAST AND CERVICAL CANCER › Section 366.413 - Inmates of Public Institutions

Current through Reg. 49, No. 28; July 12, 2024
An inmate of a public institution, including a jail,
					 prison, reformatory, or other correctional or holding facility, as defined in
					 RSA
					 435.1009 and §
										RSA
					 435.1010, is not eligible for Medicaid
					 payment for Medicaid-covered services received while residing in the public
					 institution.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter D - MEDICAID FOR BREAST AND CERVICAL CANCER › Section 366.415 - Eligibility Renewal

Current through Reg. 49, No. 28; July 12, 2024
(a) A recipient who
				  returns a completed renewal application and all necessary documentation
				  continues to receive ongoing Medicaid coverage.
(b) The Texas Health and Human Services
				  Commission reviews a recipient's Medicaid eligibility every six
				  months.
(c) A recipient's
				  certification ends before the end of her six-month certification period if the
				  recipient:
(1) dies;
(2) moves out of state;
(3) reaches 65 years of age;
(4) receives creditable coverage;
				  or
(5) is no longer receiving
				  treatment.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter D - MEDICAID FOR BREAST AND CERVICAL CANCER › Section 366.417 - Information from Other Agencies

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Periodically, the Texas Health and Human Services Commission (HHSC) and other
				  state and federal agencies compare the information they have stored on computer
				  files.
(b) After comparing
				  information with another agency, HHSC contacts the Medicaid recipient if the
				  information does not match so that HHSC can confirm the correct information.
(1) If the mismatch of information does not
				  affect eligibility, HHSC does not take action to adjust or deny
				  Medicaid.
(2) If the mismatch of
				  information affects eligibility, HHSC takes appropriate action to adjust or
				  deny Medicaid and sends a written notice of action taken to the
				  recipient.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter D - MEDICAID FOR BREAST AND CERVICAL CANCER › Section 366.419 - Requirement to Report Changes

Current through Reg. 49, No. 28; July 12, 2024
(a) A recipient
				  must report to the Texas Health and Human Services Commission (HHSC) if she:
(1) moves out of state;
(2) receives creditable coverage;
				  or
(3) is no longer receiving
				  treatment.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter D - MEDICAID FOR BREAST AND CERVICAL CANCER › Section 366.421 - Right to Appeal

Current through Reg. 49, No. 28; July 12, 2024
(a) An applicant or
				  recipient has the right to appeal Texas Health and Human Services Commission
				  (HHSC) decisions. Appeals are governed by HHSC's fair hearing rules contained
				  in Chapter 357 of this title (relating to Hearings).
(b) HHSC provides an action notice regarding
				  an HHSC decision to applicants and recipients. The action notice includes
				  information about how to file an appeal and the availability of free legal
				  representation.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter E - CHILDREN'S MEDICAID › Section 366.501 - Purpose and Scope

Current through Reg. 49, No. 28; July 12, 2024
(a) This subchapter
				  establishes the eligibility criteria and participation requirements for
				  Children's Medicaid.
(b) Nothing in
				  these rules shall be construed to violate the maintenance of eligibility
				  requirements of §5001 of the American Recovery and Reinvestment Act of
				  2009 (Public Law
				  111-5) and make eligibility standards,
				  methodologies, or procedures under the Texas State Plan for Medical Assistance
				  (or any waiver under §1115 of the Social Security Act (RSA
				  1315)) more restrictive than the eligibility
				  standards, methodologies, or procedures, respectively, under such plan (or
				  waiver) that were in effect on July 1, 2008.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter E - CHILDREN'S MEDICAID › Section 366.503 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in this
					 subchapter, have the following meanings, unless the context clearly indicates
					 otherwise:
(1) Applicant--A person
				  seeking assistance under Children's Medicaid who:
(A) has never received Medicaid and is not
				  currently receiving Medicaid; or
(B) previously received Medicaid but
				  subsequently was denied and reapplies for Medicaid.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter E - CHILDREN'S MEDICAID › Section 366.505 - General Eligibility Requirements

Current through Reg. 49, No. 28; July 12, 2024
To be eligible for Children's Medicaid, a person
					 must:
(1) meet the criteria for an
				  eligible group as described in §
										RSA 366.507 of
				  this subchapter (relating to Eligible Groups) and the provisions of Subchapter
				  K of this chapter (relating to Modified Adjusted Gross Income
				  Methodology);
(2) comply with
				  HHSC's initial and renewal application requirements in this subchapter;
				  and
(3) meet all other eligibility
				  and participation requirements in this subchapter.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter E - CHILDREN'S MEDICAID › Section 366.507 - Eligible Groups

Current through Reg. 49, No. 28; July 12, 2024
To be eligible for Children's Medicaid, an applicant or
					 recipient must be:
(1) a newborn with
				  household income equal to or less than 185% of the Federal Poverty Level
				  (FPL);
(2) a child one to 18 years
				  of age with household income equal to or less than 133% of the FPL;
(3) a newborn whose birth mother was a Texas
				  Medicaid recipient when the child was born; or
(4) a child born while the child's mother was
				  incarcerated in a Texas criminal justice facility as provided by Texas Human
				  Resources Code §
										RSA
				  80.003.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter E - CHILDREN'S MEDICAID › Section 366.509 - Application Requirements

Current through Reg. 49, No. 28; July 12, 2024
(a) To apply
				  for Children's Medicaid benefits, an applicant, authorized representative, or
				  person acting responsibly must:
(1) use the
				  application prescribed by HHSC and complete it according to HHSC instructions:
(A) in writing, using a paper application
				  obtained via telephone, Internet request, or other means;
(B) online, using the application process
				  available over the Internet;
(C)
				  over the telephone, through the State's toll-free telephone number;
				  or
(D) in person, by visiting an
				  HHSC benefits office;
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter E - CHILDREN'S MEDICAID › Section 366.511 - Application Processing

Current through Reg. 49, No. 28; July 12, 2024
(a) HHSC processes
				  Children's Medicaid applications received electronically, by paper, or by
				  telephone.
(b) HHSC allows any
				  office of a state health and human services agency to accept an initial
				  application.
(c) HHSC contracts
				  with third parties to accept applications from hospital districts (including
				  state-owned teaching hospitals), federally qualified health centers, and county
				  health departments.
(d) HHSC may
				  conduct an interview with an initial applicant.
(e) HHSC reopens a denied initial
				  application, so long as the applicant complies with the missed requirements
				  within 60 days after the date the application was submitted. HHSC otherwise
				  requires the applicant to file a new application.
(f) HHSC reconsiders the eligibility of a
				  recipient who is terminated for failure to submit a renewal form or necessary
				  information, so long as the recipient complies with the missed requirements
				  within 90 days after the date of termination. HHSC otherwise requires the
				  recipient to file a new application.
(g) HHSC may reopen an application for three
				  months prior coverage if:
(1) within two
				  years after the application was filed, the applicant requests that the
				  application be reopened; and
(2) a
				  Medicaid eligibility determination was not previously made for the three-month
				  prior period.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter E - CHILDREN'S MEDICAID › Section 366.513 - Citizenship

Current through Reg. 49, No. 28; July 12, 2024
To be eligible for Children's Medicaid, an applicant must
					 be:
(1) a citizen or national of the
				  United States; or
(2) an alien who
				  legally entered the United States before August 22, 1996, and who meets the
				  eligibility criteria in
				  RSA
				  1641(b) or
				  (c);
(3) an alien who legally entered the United
				  States on or after August 22, 1996, and who meets the eligibility criteria in
				  RSA
				  1612(b) and
				  §
										RSA
				  1613, except that a legal permanent resident
				  alien is eligible after residing in the United States for five years only if
				  the alien meets one of the following eligibility requirements:
(A) the alien is an honorably discharged
				  veteran or active duty military personnel;
(B) the alien is a spouse, unmarried
				  surviving spouse, or minor unmarried child of an honorably discharged veteran
				  or active duty military personnel (if a surviving spouse of a deceased veteran
				  or active duty military person, the surviving spouse must not have
				  remarried);
(C) the alien entered
				  the United States before August 22, 1996, and remained continuously present in
				  the U.S. (a single absence from the United States of more than 30 days or a
				  combined absence of more than 90 days interrupts the "continuous presence")
				  since at least August 21, 1996, until obtaining qualifying immigrant status (an
				  alien who entered the United States without proper documents or overstayed his
				  or her visa, is treated the same as an alien who entered and remained in the
				  United States with valid immigration documents);
(D) the alien entered the United States with
				  a status described in the
Texas Works Handbook,
Item A-342,
				  Chart C and meets those eligibility criteria, or meets the criteria in the
Texas Works Handbook,
Item A-343, How to Determine Eligibility
				  for Battered Aliens; or
(E) the
				  alien meets the 40 qualifying quarters requirements in the
Texas Works
				  Handbook,
Item A-354, Verifying 40 "Qualifying Quarters," and five
				  years have passed since the alien's legal date of entry; or
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter E - CHILDREN'S MEDICAID › Section 366.515 - Social Security Number

Current through Reg. 49, No. 28; July 12, 2024
An applicant or recipient must provide or apply for a
					 social security number. Prior to denying eligibility, HHSC allows a period of
					 reasonable opportunity for an applicant or recipient to provide or apply for a
					 social security number.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter E - CHILDREN'S MEDICAID › Section 366.517 - Residence

Current through Reg. 49, No. 28; July 12, 2024
An applicant or recipient must be a resident of Texas. HHSC
					 follows
					 RSA 435.403 in
					 determining a person's state residence.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter E - CHILDREN'S MEDICAID › Section 366.519 - Relationship and Domicile

Current through Reg. 49, No. 28; July 12, 2024
(a) An
				  applicant or recipient must live in a home with a caretaker who is present in
				  the home and supervises and cares for the applicant or recipient. A home is a
				  family setting maintained or being established, as evidenced by continuation of
				  responsibility for day-to-day care of the applicant or recipient.
(b) A caretaker must be the applicant's or
				  recipient's:
(1) father or mother;
(2) grandparent, to the degree of a "great,
				  great, great" grandparent;
(3)
				  brother or sister;
(4) uncle or
				  aunt, to the degree of a "great, great" uncle or aunt;
(5) first cousin;
(6) nephew or niece, to the to the degree of
				  a "great, great" nephew or niece;
(7) stepfather or stepmother;
(8) stepbrother or stepsister; or
(9) first cousin once removed.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter E - CHILDREN'S MEDICAID › Section 366.521 - Child Support and Medical Support

Current through Reg. 49, No. 28; July 12, 2024
If an applicant or recipient for Children's Medicaid
					 volunteers to receive services provided by the Office of Attorney General of
					 Texas (OAG), HHSC will collect absent parent information and refer the child's
					 case to the OAG.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter E - CHILDREN'S MEDICAID › Section 366.523 - Income Limits

Current through Reg. 49, No. 28; July 12, 2024
To be eligible for Children's Medicaid, an applicant or
					 recipient must meet the household income requirements established in §
										RSA 366.507 of
					 this subchapter (relating to Eligible Groups) after application of the
					 methodology in Subchapter K of this chapter (relating to Modified Adjusted
					 Gross Income Methodology).
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter E - CHILDREN'S MEDICAID › Section 366.525 - Third-Party Resources

Current through Reg. 49, No. 28; July 12, 2024
Medicaid is considered the payor of last resort for a
					 person's medical expenses. As a condition of eligibility, in accordance with
					 RSA
					 433.138 -
					 RSA
					 433.148, an applicant or recipient
					 must:
(1) assign to HHSC the
				  applicant's or recipient's right to recover any third-party resources available
				  for payment of medical expenses covered under the Texas State Plan for Medical
				  Assistance; and
(2) report to HHSC
				  any third-party resource within 60 days after learning about the third-party
				  resource.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter E - CHILDREN'S MEDICAID › Section 366.527 - Medicaid Eligibility Effective Date

Current through Reg. 49, No. 28; July 12, 2024
HHSC determines the Medicaid eligibility effective date for
					 an applicant as follows:
(1) Medicaid
				  coverage begins on the earliest day of the application month on which the
				  applicant meets all eligibility criteria.
(2) Retroactive coverage may begin as early
				  as three months before the application month, except that a newborn's coverage
				  begins no earlier than the child's date of birth.
(3) A recipient is continuously eligible for
				  Medicaid for six months or through the month of the recipient's 19th birthday,
				  whichever is earlier. A recipient who is a newborn has continuous eligibility
				  through the month of his or her first birthday. If the applicant is eligible in
				  the application or process month, the child is eligible for continuous coverage
				  beginning the first month the applicant meets the eligibility
				  criteria.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter E - CHILDREN'S MEDICAID › Section 366.529 - Resident of an Institution for Mental Diseases

Current through Reg. 49, No. 28; July 12, 2024
A person who lives in an institution for mental diseases,
					 as defined in
					 RSA
					 435.1010, is eligible for Medicaid payment
					 for Medicaid covered services received only while residing in the institution
					 for mental diseases to the extent allowed by federal law.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter E - CHILDREN'S MEDICAID › Section 366.531 - Inmates of Public Institutions

Current through Reg. 49, No. 28; July 12, 2024
An inmate of a public institution, including a jail,
					 prison, reformatory, or other correctional or holding facility, as defined in
					 RSA
					 435.1009 and §
										RSA
					 435.1010, is not eligible for Medicaid
					 payment for Medicaid-covered services received while residing in the public
					 institution.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter E - CHILDREN'S MEDICAID › Section 366.533 - Eligibility Renewal

Current through Reg. 49, No. 28; July 12, 2024
(a) At 12 months
				  after the recipient was determined eligible, HHSC determines if a recipient is
				  still eligible to receive Medicaid coverage.
(b) HHSC does not review or change the
				  Medicaid eligibility of a child under 19 years of age whose coverage began on
				  or after January 1, 2002, regardless of changes in income, until the earlier
				  of:
(1) six months; or
(2) the child's 19th birthday.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter E - CHILDREN'S MEDICAID › Section 366.535 - Comprehensive Health Care Requirements

Current through Reg. 49, No. 28; July 12, 2024
(a) A
				  parent or guardian of an applicant must:
(1)
				  attend a health care orientation;
(2) accompany the child on a visit to a
				  health care provider; or
(3) meet
				  with an HHSC representative to discuss the child's eligibility and, as
				  appropriate, receive counseling on the child's need for comprehensive health
				  care.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter E - CHILDREN'S MEDICAID › Section 366.537 - Information from Other Agencies

Current through Reg. 49, No. 28; July 12, 2024
(a) HHSC
				  and other state and federal agencies compare the information they have stored
				  on computer files.
(b) After
				  comparing information with another agency, HHSC contacts the Medicaid applicant
				  or recipient if the information does not match so that HHSC can confirm the
				  correct information.
(1) If the mismatch of
				  information does not affect eligibility, HHSC does not take action to adjust or
				  deny Medicaid.
(2) If the mismatch
				  of information affects eligibility, HHSC takes appropriate action to adjust or
				  deny Medicaid and sends a written notice of action taken to the applicant or
				  recipient.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter E - CHILDREN'S MEDICAID › Section 366.539 - Requirement to Report Changes

Current through Reg. 49, No. 28; July 12, 2024
(a) During the
				  first six months of eligibility, a recipient must report:
(1) a change of address;
(2) if a certified child leaves the home, is
				  institutionalized, or dies; and
(3)
				  the addition of a child to the household, if the household wants Medicaid for
				  the child.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter E - CHILDREN'S MEDICAID › Section 366.541 - Right to Appeal

Current through Reg. 49, No. 28; July 12, 2024
(a) An applicant or
				  recipient has the right to appeal HHSC decisions. Appeals are governed by
				  HHSC's fair hearing rules contained in Chapter 357 of this title (relating to
				  Hearings).
(b) HHSC provides an
				  action notice regarding an HHSC decision to applicants and recipients. The
				  action notice includes information about how to file an appeal and the
				  availability of free legal representation.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter F - MEDICAID FOR TRANSITIONING FOSTER CARE YOUTH › Section 366.601 - Purpose and Scope

Current through Reg. 49, No. 28; July 12, 2024
(a) This subchapter
				  establishes the eligibility criteria for the Medicaid for Transitioning Foster
				  Care Youth Program, which provides medical assistance to eligible youths who
				  leave foster care and transition into the community.
(b) Nothing in these rules shall be construed
				  to violate the maintenance of eligibility requirements of §5001 of the
				  American Recovery and Reinvestment Act of 2009 (Public Law 111-5)
				  and make eligibility standards, methodologies, or procedures under the Texas
				  State Plan for Medical Assistance (or any waiver under §1115 of the Social
				  Security Act (RSA 1315))
				  more restrictive than the eligibility standards, methodologies, or procedures,
				  respectively, under such plan (or waiver) that were in effect on July 1,
				  2008.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter F - MEDICAID FOR TRANSITIONING FOSTER CARE YOUTH › Section 366.603 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in this
					 subchapter, have the following meanings, unless the context clearly indicates
					 otherwise:
(1) Applicant--A person
				  seeking assistance under the Medicaid for Transitioning Foster Care Youth
				  Program who:
(A) has never received Medicaid
				  and is not currently receiving Medicaid; or
(B) previously received Medicaid but
				  subsequently was denied and reapplies for Medicaid.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter F - MEDICAID FOR TRANSITIONING FOSTER CARE YOUTH › Section 366.605 - Program Administration

Current through Reg. 49, No. 28; July 12, 2024
HHSC administers MTFCY in cooperation with the Texas
					 Department of Family and Protective Services.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter F - MEDICAID FOR TRANSITIONING FOSTER CARE YOUTH › Section 366.607 - Legal Basis

Current through Reg. 49, No. 28; July 12, 2024
MTFCY finds its legal authority in the following
					 statutes:
(1)
										RSA
				  1396d(w);
(2)
										RSA
				  1396a(10)(A)(ii)(XVII);
(3) Texas Human Resources Code §
										RSA
				  32.0247; and
(4) the Foster Care Independence Act of 1999
				  (RSA
				  677).
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter F - MEDICAID FOR TRANSITIONING FOSTER CARE YOUTH › Section 366.609 - General Eligibility Requirements

Current through Reg. 49, No. 28; July 12, 2024
To be eligible for MTFCY, a person must:
(1) meet the criteria for an eligible group
				  as described in §
										RSA 366.611 of
				  this subchapter (relating to Eligible Group) and the provisions of Subchapter K
				  of this chapter (relating to Modified Adjusted Gross Income
				  Methodology);
(2) comply with
				  HHSC's initial and renewal application requirements in this subchapter;
				  and
(3) meet all other eligibility
				  and participation requirements in this subchapter.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter F - MEDICAID FOR TRANSITIONING FOSTER CARE YOUTH › Section 366.611 - Eligible Group

Current through Reg. 49, No. 28; July 12, 2024
(a) Except as
				  provided by subsection (b) of this section, an applicant is eligible for MTFCY
				  if the applicant:
(1) is in foster care when
				  he or she leaves conservatorship of this State;
(2) is 18 - 20 years of age (coverage
				  continues through the month of his or her 21st birthday); and
(3) is not covered by a health benefits plan
				  offering adequate benefits, as HHSC defines adequate benefits.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter F - MEDICAID FOR TRANSITIONING FOSTER CARE YOUTH › Section 366.613 - Application Requirements

Current through Reg. 49, No. 28; July 12, 2024
(a) Except for
				  an applicant described in subsection (b) of this section, the Texas Department
				  of Family and Protective Services certifies that an applicant's income meet
				  eligibility requirements and notifies HHSC to authorize Medicaid
				  coverage.
(b) An applicant who
				  previously received MTFCY benefits, and seeks to reapply for MTFCY, must
				  reapply for MTFCY as described in subsections (c) - (e) of this
				  section.
(c) For an applicant
				  described in subsection (b) of this section, the applicant, authorized
				  representative, or person acting responsibly must:
(1) use the application for assistance
				  prescribed by HHSC and complete it according to HHSC instructions:
(A) in writing, using a paper application
				  obtained via telephone or other means;
(B) online, using the application process
				  available over the Internet;
(C)
				  over the telephone, through the State's toll-free telephone number;
				  or
(D) in person, by visiting an
				  HHSC benefits office;
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter F - MEDICAID FOR TRANSITIONING FOSTER CARE YOUTH › Section 366.615 - Application Processing

Current through Reg. 49, No. 28; July 12, 2024
(a) HHSC processes
				  applications received electronically, by paper, or by telephone.
(b) HHSC reopens a denied initial
				  application, so long as the applicant complies with the missed requirements
				  within 60 days after the date the application was submitted. HHSC otherwise
				  requires the applicant to file a new application.
(c) HHSC reconsiders the eligibility of a
				  recipient who is terminated for failure to submit a renewal form or necessary
				  information, so long as the recipient complies with the missed requirements
				  within 90 days after the date of termination. HHSC otherwise requires the
				  recipient to file a new application.
(d) HHSC reopens an application for three
				  months prior coverage if:
(1) within two
				  years after the application was filed, the applicant requests that the
				  application be reopened; and
(2) a
				  Medicaid eligibility determination was not previously made for the prior
				  three-month period.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter F - MEDICAID FOR TRANSITIONING FOSTER CARE YOUTH › Section 366.617 - Citizenship

Current through Reg. 49, No. 28; July 12, 2024
To be eligible for MTFCY, an applicant must be:
(1) a citizen or national of the United
				  States;
(2) an alien who legally
				  entered the United States before August 22, 1996, and who meets the eligibility
				  criteria in
				  RSA
				  1641(b) or
				  (c);
(3) an alien who legally entered the United
				  States on or after August 22, 1996, and who meets the eligibility criteria in
				  RSA
				  1612(b) and
				  §
										RSA
				  1613, except that a legal permanent resident
				  alien is eligible after residing in the U.S. for five years only if the alien
				  meets one of the following eligibility requirements:
(A) the alien is an honorably discharged
				  veteran or active duty military personnel;
(B) the alien is a spouse, unmarried
				  surviving spouse, or minor unmarried child of an honorably discharged veteran
				  or active duty military personnel (if a surviving spouse of a deceased veteran
				  or active duty military person, the surviving spouse must not have
				  remarried);
(C) the alien entered
				  the United States before August 22, 1996, and remained continuously present in
				  the United States (a single absence from the United States of more than 30 days
				  or a combined absence of more than 90 days interrupts the "continuous
				  presence") since at least August 21, 1996, until obtaining qualifying immigrant
				  status (an alien who entered the United States without proper documents or
				  overstayed his or her visa, is treated the same as an alien who entered and
				  remained in the United States with valid immigration documents);
(D) the alien entered the United States with
				  a status described in the
Texas Works Handbook,
Item A-342,
				  Chart C and meets those eligibility criteria, or meets the criteria in the
Texas Works Handbook,
Item A-343, How to Determine Eligibility
				  for Battered Aliens; or
(E) the
				  alien meets the 40 qualifying quarters requirements in the
Texas Works
				  Handbook,
Item A-354, Verifying 40 "Qualifying Quarters," and five
				  years have passed since the alien's legal date of entry; or
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter F - MEDICAID FOR TRANSITIONING FOSTER CARE YOUTH › Section 366.619 - Social Security Number

Current through Reg. 49, No. 28; July 12, 2024
An applicant or recipient to MTFCY must provide or apply
					 for a social security number. Prior to denying eligibility, HHSC allows a
					 period of reasonable opportunity for a recipient to provide or apply for a
					 social security number.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter F - MEDICAID FOR TRANSITIONING FOSTER CARE YOUTH › Section 366.621 - Residence

Current through Reg. 49, No. 28; July 12, 2024
An applicant or recipient must be a resident of Texas. HHSC
					 follows
					 RSA 435.403 in
					 determining a person's state residence.
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter F - MEDICAID FOR TRANSITIONING FOSTER CARE YOUTH › Section 366.623 - Income Limits

Current through Reg. 49, No. 28; July 12, 2024
To be eligible for MTFCY, an applicant or recipient must
					 have household income that is equal to or less than 400% of the Federal Poverty
					 Level (FPL) after application of the methodology in Subchapter K of this
					 chapter (relating to Modified Adjusted Gross Income
					 Methodology).
Texas Administrative Code › Title 1 - ADMINISTRATION › Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES › Subchapter F - MEDICAID FOR TRANSITIONING FOSTER CARE YOUTH › Section 366.625 - Medicaid Eligibility Effective Dates

Current through Reg. 49, No. 28; July 12, 2024
(a) Medicaid eligibility begins the first
				  month the person meets all eligibility criteria as long as the person is not
				  eligible for or receiving other Medicaid coverage.
(b) A person eligible for MTFCY is also
				  eligible for retroactive coverage.