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TITLE 1ADMINISTRATION
PART 15TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 366MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES
SUBCHAPTER BPRESUMPTIVE MEDICAID PROGRAM
DIVISION 2ELIGIBILITY REQUIREMENTS
RULE §366.227Calculation of Household Income

(a) For each applicant, the household income is:

  (1) the sum of individual income (as calculated under §366.1109 of this chapter (relating to Calculation of Individual Income)) for each individual in the applicant's household composition (as determined under §366.225 of this subchapter (relating to Determination of Household Composition));

  (2) less a standard income disregard equal to five percentage points of the Federal Poverty Level for the applicable household size, as permitted by 42 C.F.R. §435.603(d)(4).

(b) To be eligible for the Presumptive Medicaid Program, the applicant's household income must be less than or equal to the Federal Poverty Level of the applicable Presumptive Medicaid Program in accordance with §366.213 of this subchapter (relating to Eligible Groups).

(c) HHSC may modify or implement additional income eligibility policies developed under this subchapter to be consistent with state and federal laws.


Source Note: The provisions of this §366.227 adopted to be effective January 18, 2015, 40 TexReg 31

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