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TITLE 25HEALTH SERVICES
PART 1DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 37MATERNAL AND INFANT HEALTH SERVICES
SUBCHAPTER DNEWBORN SCREENING PROGRAM
RULE §37.61Eligibility Requirements for the Newborn Screening Program Benefits

(a) Except as otherwise provided for in this subchapter, to be eligible to receive the benefits from the program referenced in §37.60 of this title (relating to Newborn Screening Program Benefits), an individual must:

  (1) have an abnormal screening result (pending confirmation of diagnosis), or a confirmed diagnosis of a disorder screened by the program as referenced in §37.53 of this title (relating to Disorders for Which Blood Specimen Screening is Performed) and/or CCHD, once the department has established rules covering that subject matter in a separate subchapter under this chapter;

  (2) be a bona fide resident of the state;

  (3) have a family income that is at or below 350% of the federal poverty income guidelines;

  (4) if required, make financial participation payments in a timely manner;

  (5) as directed by the program, provide current medical, financial, and residency information and/or documentation in a timely manner; and

  (6) have a parent, managing conservator, or legal guardian agree to abide by the requirements in this subchapter if the individual is a minor.

(b) An individual is not eligible to receive the benefits described in §37.60 of this title if the individual or the parent, managing conservator, or legal guardian is eligible for some other benefit, such as Medicaid, CSHCN Services Program, CHIP, or private insurance, that would pay for all or part of the services in question.


Source Note: The provisions of this §37.61 adopted to be effective November 1, 2006, 31 TexReg 8835; amended to be effective December 31, 2013, 38 TexReg 9567

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