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TITLE 1ADMINISTRATION
PART 15TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 366MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES
SUBCHAPTER FMEDICAID FOR TRANSITIONING FOSTER CARE YOUTH
RULE §366.615Application Processing

(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.


Source Note: The provisions of this §366.615 adopted to be effective January 1, 2014, 38 TexReg 9467; amended to be effective June 1, 2014, 39 TexReg 3981

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