Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 358 - MEDICAID ELIGIBILITY FOR THE ELDERLY AND PEOPLE WITH DISABILITIES
Subchapter B - NONFINANCIAL REQUIREMENTS
Section 358.219 - Third-Party Resources
Universal Citation: 1 TX Admin Code ยง 358.219
Current through Reg. 49, No. 38; September 20, 2024
(a) Medicaid is considered the payor of last resort for a person's medical expenses. As a condition of eligibility, in accordance with RSA 433.138 - RSA 433.148, an applicant or recipient must:
(1) assign to the Texas Health and Human
Services Commission (HHSC) the applicant's or recipient's right to recover any
third-party resources available for payment of medical expenses covered under
the Texas State Plan for Medical Assistance; and
(2) report to HHSC any third-party resource
within 60 days after learning about the third-party resource.
(b) If HHSC determines that a person's employer-based health insurance is cost-effective, the person must participate in HHSC's Health Insurance Premium Payment program as a condition of eligibility. HHSC denies eligibility to a person who voluntarily drops his or her employer-based health insurance or fails to provide HHSC with the information needed to determine cost effectiveness.
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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