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 375.603 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
In this subchapter, words and terms have the following
					 meanings, unless the context clearly indicates otherwise:
(1) Applicant--A person applying for
				  assistance from the Refugee Medical Assistance program.
(2) Child--An adoptive, step, or natural
				  child who is under age 19.
(3)
				  Federal Poverty Level (FPL)--The income guidelines issued annually and
				  published in the Federal Register by the United States Department of Health and
				  Human Services.
(4) HHSC--The Texas
				  Health and Human Services Commission or its designee.
(5) Household composition--The group of
				  individuals who are considered in determining eligibility for an applicant or
				  recipient for certain medical programs based on tax status, tax relationships,
				  living arrangements, and family relationships, referenced in
				  RSA
				  435.603(f) as
				  "household."
(6) Household
				  income--The sum of the individual income of every individual within an
				  applicant's or recipient's household composition, from which is subtracted the
				  standard income disregard.
(7)
				  Household size--The number of individuals in an applicant's or recipient's
				  household composition, plus the number of unborn children if applicable,
				  referenced in
				  RSA
				  435.603(b) as
				  "family size."
(8) Individual
				  income--The sum of certain income received by individuals in a household
				  composition, from which is subtracted certain expenses, referenced in
				  RSA
				  435.603(e) as
				  "MAGI-based income."
(9)
				  MAGI--Modified adjusted gross income.
(10) Non-custodial parent--A parent who does
				  not have custody of a child pursuant to a court order, or binding agreement of
				  separation or divorce.
(11)
				  Parent--An individual who is the adoptive, step, or natural parent of a
				  child.
(12) Recipient--An
				  individual receiving RMA services.
(13) RMA--The Refugee Medical Assistance
				  program.
(14) Sibling--An
				  individual under age 19 who is an adoptive, step, or natural sibling of a
				  child.
(15) Standard income
				  disregard--An income disregard equal to five percentage points of FPL for the
				  applicable household size.
(16) Tax
				  dependent--An individual who expects to be claimed as a dependent on a federal
				  income tax return for the taxable year in which RMA eligibility is
				  requested.
(17) Taxpayer--An
				  individual, or a married couple, who expects:
(A) to file a federal income tax return for
				  the taxable year in which RMA eligibility is requested;
(B) if married, to file a joint federal
				  income tax return for the taxable year in which RMA eligibility is
				  requested;
(C) that no other
				  taxpayer will be able to claim him, her, or them as a tax dependent on a
				  federal income tax return for the taxable year in which RMA eligibility is
				  requested; or
(D) to claim a
				  personal exemption deduction on his or her federal income tax return for one or
				  more applicants, who may or may not include himself or herself and his or her
				  spouse.