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 358.540 - Medical Effective Date
Universal Citation: 1 TX Admin Code ยง 358.540
Current through Reg. 49, No. 38; September 20, 2024
(a) If a person is eligible for a Medicaid-funded program for the elderly and people with disabilities (MEPD), the Texas Health and Human Services Commission (HHSC) includes in the notice of eligibility the date that the person's Medicaid benefits will begin, which is known as the medical effective date.
(b) HHSC determines the medical effective date:
(1) in accordance with
RSA 435.914, as
the first day of the month in which a person meets all eligibility criteria,
which may be up to three months before the date of application if:
(A) during the three months before the month
of application, the person received MEPD services covered under the Texas State
Plan for Medical Assistance; and
(B) would have been eligible for MEPD at the
time the services were received if the person had applied (or someone had
applied on behalf of the person), regardless of whether the person is alive
when application for MEPD is made; or
(2) as approved by the Centers for Medicare
and Medicaid Services for a §1915(c) waiver program.
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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
