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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 §98.117Denial, Non-Renewal, and Termination of Benefits

(a) A person may be denied enrollment in the program, be denied renewal in the program, and/or have enrollment in the program terminated for any of the following reasons:

  (1) failure to maintain Texas residency, or upon demand furnish evidence of such;

  (2) failure to continue to meet income requirements for eligibility or to provide income data as requested;

  (3) failure to initially meet or continue to meet the medical requirements for eligibility listed in §98.107 of this title (relating to Medical Eligibility Criteria);

  (4) becoming eligible for the full Low Income Subsidy under Medicare Part D;

  (5) becoming incarcerated in a city, county, state, or federal jail or prison;

  (6) being admitted or committed to a state facility under the Texas Health and Safety Code;

  (7) the department determines the individual has made a material misstatement or misrepresentation on their application or any document required to support their application or renewal, or on submissions made to comply with §98.110(f) of this title (relating to Application Process; Verification; Renewal);

  (8) failure to notify the program of changes to permanent home address or insurance coverage;

  (9) the recipient notifies the program in writing that he/she no longer wants to receive program benefits;

  (10) the recipient has not requested or used services during any period of six consecutive months; and/or

  (11) program funds are exhausted.

(b) Denial, modification, suspension, or termination of services to an applicant or recipient will be governed by the procedures required by §98.118 of this title (relating to Appeal Procedures), and §98.119 of this title (relating to Exceptions from Appeal Procedures).


Source Note: The provisions of this §98.117 adopted to be effective August 28, 2003, 28 TexReg 6855; amended to be effective December 16, 2007, 32 TexReg 9128

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