| (a) A recipient, certified as required by §1931
of the Social Security Act (42 U.S.C. §1396u-1) and §32.0255
of the Texas Human Resources Code, who is denied because of new or
increased earnings may be eligible for 12-month transitional Medicaid,
as provided by §1925 of the Social Security Act (42 U.S.C. §1396r-6).
(b) To remain eligible for 12-month transitional Medicaid,
a recipient must report changes in the fourth, seventh, and tenth
months.
(c) A recipient who reports changes is denied only
for one or more of the following reasons:
(1) no eligible child is in the home;
(2) on the seventh- or tenth-month report, the caretaker
relative had no earnings in one of the previous three months; or
(3) the average monthly income exceeds 185% of the
Federal Poverty Level on the seventh- or tenth-month report.
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