| (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.
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