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TITLE 1ADMINISTRATION
PART 15TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 366MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES
SUBCHAPTER KMODIFIED ADJUSTED GROSS INCOME METHODOLOGY
RULE §366.1107Determination of Household Composition

(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 set out in 42 CFR §435.603(f)(2); or

  (4) not a taxpayer or tax dependent.

(b) If the individual is a taxpayer, the following individuals are included in the taxpayer's household composition:

  (1) the taxpayer;

  (2) the taxpayer's spouse, if the taxpayer and the spouse live together;

  (3) the taxpayer's spouse, if the taxpayer and spouse file a joint federal income tax return; and

  (4) any individual the taxpayer expects to claim as a tax dependent for the taxable year in which Medicaid eligibility is requested.

(c) If the individual is a tax dependent, the following individuals are included in the tax dependent's household composition:

  (1) the tax dependent;

  (2) the household composition of the taxpayer claiming the tax dependent; and

  (3) the tax dependent's spouse, if the tax dependent and the spouse live together.

(d) The rules in subsection (e) of this section apply to a tax dependent who:

  (1) is not the taxpayer's spouse or the taxpayer's child;

  (2) is a child who lives with both parents who did not file a joint federal income tax return and was claimed by one parent; or

  (3) is a child who is claimed as a tax dependent only by a non-custodial parent.

(e) The household composition of an individual who is not a taxpayer or a tax dependent includes:

  (1) the individual's spouse;

  (2) the individual's children; and

  (3) if a child, the individual's parents and siblings.

(f) A spouse is included in an individual's household composition if living together or filing a joint federal income tax return.

(g) Subsection (c) of this section applies to an individual who is both a tax dependent and taxpayer.

(h) The number of unborn children is included in the household composition of:

  (1) a pregnant woman; and

  (2) any individual whose household composition includes the pregnant woman.


Source Note: The provisions of this §366.1107 adopted to be effective January 1, 2014, 38 TexReg 9467; amended to be effective June 1, 2014, 39 TexReg 3981; amended to be effective November 20, 2016, 41 TexReg 9007

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