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TITLE 25HEALTH SERVICES
PART 1DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 98TEXAS HIV MEDICATION PROGRAM
SUBCHAPTER CTEXAS HIV MEDICATION PROGRAM
DIVISION 1GENERAL PROVISIONS
RULE §98.110Application Process; Verification; Renewal

(a) Persons meeting the aforementioned eligibility requirements must submit a complete application for benefits to the department, on the form specified by the department, accompanied by the required supporting documentation. A complete application shall consist of all of the following:

  (1) a complete Application for Services, with the original signature of the applicant, or the person legally responsible for the applicant, certifying that the statements made within the application are factual and true;

  (2) documentation of current Texas residency;

  (3) documentation acceptable to the department to establish the applicant's financial qualifications;

  (4) verification that the applicant has a diagnosis of HIV disease and is under the care of a physician licensed to practice medicine in the United States of America, who prescribes drugs for that person.

(b) Any application that does not meet all of the requirements in subsection (a) of this section is considered incomplete. Incomplete applications will not be processed further, and the applicant will be contacted concerning the insufficiency of the application.

(c) To request an application packet, call toll-free 1-800-255-1090 or write to: Department of State Health Services, HIV/STD Prevention and Care Branch, Texas HIV Medication Program, Attn: MSJA, Mail Code 1873, P.O. Box 149347, Austin, Texas 78714-9347. The program's application for assistance is also available online at http://www.dshs.state.tx.us/hivstd/meds/.

(d) Submit completed application, along with accompanying documentation and certification forms, to: Department of State Health Services, HIV/STD Prevention and Care Branch, Texas HIV Medication Program, Attn: MSJA, Mail Code 1873, P.O. Box 149347, Austin, Texas 78714-9347.

(e) The applicant is expected to give informed consent to the department so that the program may contact a medical provider, Medicare, or Medicare prescription drug plan to verify information contained in the application and/or to request additional supporting documentation pertaining to the application.

(f) The department may, at any time, verify the eligibility status of an enrolled recipient to determine if the recipient is continuing to meet the eligibility criteria of the program. The recipient must cooperate with the department, and furnish requested documentation to the department as directed.

(g) A recipient must renew enrollment in the program every three years according to the procedures established by the department. Recipient must demonstrate, at that time, continuing eligibility for the program to the satisfaction of the department. Recipients must use the department's renewal application form (which may be obtained from the department calling toll-free 1-800-255-1090 or writing to: Department of State Health Services, HIV/STD Prevention and Care Branch, Texas HIV Medication Program, Attn: MSJA, Mail Code 1873, P.O. Box 149347, Austin, Texas 78714-9347), and comply with all associated deadlines and requirements for accompanying documents.


Source Note: The provisions of this §98.110 adopted to be effective August 28, 2003, 28 TexReg 6855; amended to be effective December 16, 2007, 32 TexReg 9128; amended to be effective November 20, 2013, 38 TexReg 8244

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