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TITLE 1ADMINISTRATION
PART 15TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 370STATE CHILDREN'S HEALTH INSURANCE PROGRAM
SUBCHAPTER IMODIFIED ADJUSTED GROSS INCOME METHODOLOGY
RULE §370.807Determination of Household Composition

(a) To determine household composition, an individual is designated as:

  (1) a taxpayer;

  (2) a tax dependent who does not meet any exceptions;

  (3) a tax dependent who meets one or more of the exceptions; or

  (4) not a taxpayer or tax dependent.

(b) If the individual is a taxpayer, the following individuals are included in the taxpayer's household composition:

  (1) the taxpayer;

  (2) the taxpayer's spouse, if the taxpayer and the spouse live together;

  (3) the taxpayer's spouse, if the taxpayer and spouse file a joint federal income tax return; and

  (4) any individual the taxpayer expects to claim as a tax dependent for the taxable year in which CHIP eligibility is requested.

(c) If the individual is a tax dependent, the following individuals are included in the tax dependent's household composition:

  (1) the tax dependent;

  (2) the taxpayer's household claiming the tax dependent; and

  (3) the tax dependent's spouse, if the tax dependent and the spouse live together.

(d) The rules in subsection (e) of this section apply to a tax dependent who:

  (1) is not the taxpayer's spouse or the taxpayer's child;

  (2) is a child who lives with both parents whose parents did not file a joint federal income tax return and was claimed as a tax dependent by one parent; or

  (3) is a child who is claimed as a tax dependent by a non-custodial parent pursuant to 42 CFR §435.603(f)(2).

(e) The household composition of an individual who is not a taxpayer or a tax dependent includes:

  (1) the individual;

  (2) the individual's spouse;

  (3) the individual's children; and

  (4) if the individual is a child, the individual's parents and siblings.

(f) A spouse is included in an individual's household composition if living together or filing a joint federal income tax return.

(g) Subsection (c) of this section applies to an individual who is both a tax dependent and taxpayer.

(h) The number of unborn children a pregnant individual is expected to deliver is included in the household composition of that pregnant individual or an applicant under §370.401 of this chapter (relating to Perinates).


Source Note: The provisions of this §370.807 adopted to be effective January 1, 2014, 38 TexReg 9477; amended to be effective June 1, 2014, 39 TexReg 3983; amended to be effective November 20, 2016, 41 TexReg 9008

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