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TITLE 1ADMINISTRATION
PART 15TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 370STATE CHILDREN'S HEALTH INSURANCE PROGRAM
SUBCHAPTER BAPPLICATION SCREENING, REFERRAL, PROCESSING, RENEWAL, AND DISENROLLMENT
DIVISION 5REVIEW AND RECONSIDERATION OF ELIGIBILITY DENIALS AND TEMPORARY ENROLLMENT
RULE §370.54Temporary Enrollment Pending Disposition of Review or Reconsideration
(a) There is no retroactive enrollment in CHIP.

(b) If HHSC determines that an applicants request for review indicates the action was in error, HHSC may approve temporary enrollment of the child pending completion of the review and reconsideration by HHSC.

(c) A child will remain enrolled until the review and any HHSC reconsideration is complete.

(d) If the review/reconsideration upholds the action, the child is disenrolled as of the next cut-off date.

(e) Temporary enrollment for a child on the basis of a review is limited to only once every 6 months.

(f) If a child who is temporarily enrolled under this section ultimately is determined ineligible for CHIP, no repayment for health care costs during the period of temporary enrollment will be sought by HHSC's or its designee.

Source Note: The provisions of this §370.54 adopted to be effective April 4, 2001, 26 TexReg 2519; amended to be effective September 1, 2003, 28 TexReg 7337; amended to be effective January 1, 2006, 30 TexReg 8666

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