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 358.535 - Notice of Eligibility Determination
Universal Citation: 1 TX Admin Code § 358.535
Current through Reg. 50, No. 13; March 28, 2025
(a) After making an initial eligibility determination, the Texas Health and Human Services Commission (HHSC) sends the applicant, in accordance with 42 C.F.R. 435.912:
(1) a written notice of eligibility, including notice of any co-payment the person must pay and the medical effective date described in §
358.540 of this subchapter (relating to Medical Effective Date); or
(2) a written notice of ineligibility, explaining the reason for the decision and the specific provision supporting the decision.
(b) After making an eligibility redetermination, HHSC sends the recipient a written notice of any change in eligibility or co-payment.
(c) The written notice informs the applicant or recipient of the right to request a hearing to appeal the eligibility determination. The hearing is held in accordance with 42 CFR Part 431, Subpart E and HHSC's fair hearing rules in Chapter 357 of this title (relating to Hearings).
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