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 D - APPLICATION AND ELIGIBILITY DETERMINATION
Section 358.530 - Eligibility Determination
Universal Citation: 1 TX Admin Code ยง 358.530
Current through Reg. 49, No. 38; September 20, 2024
(a) Time frame for determination. After an applicant or authorized representative provides all information and verification documents requested, the Texas Health and Human Services Commission (HHSC) makes an eligibility determination within the following time frames, in accordance with RSA 435.911:
(1) by the 90th day after the date of
application if the applicant is applying on the basis of a
disability;
(2) by the 45th day
after the date of application for all other applicants; or
(3) beyond the time frames established in
paragraphs (1) and (2) of this subsection under unusual circumstances, such as
those set forth in
RSA
435.911.
(b) Basis for determination. HHSC decides whether an applicant meets the eligibility criteria for a Medicaid-funded program for the elderly and people with disabilities based on:
(1) a complete, signed, and dated application
for assistance;
(2) information
obtained from an interview, if an interview occurred; and
(3) required verification
documents.
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