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 358.545 - Eligibility Redetermination
Universal Citation: 1 TX Admin Code ยง 358.545
Current through Reg. 49, No. 38; September 20, 2024
(a) In accordance with RSA 435.916, the Texas Health and Human Services Commission (HHSC) redetermines a person's eligibility for a Medicaid-funded program for the elderly and people with disabilities (MEPD):
(1) at least every 12 months;
(2) after HHSC receives information about a
change in the person's circumstances, such as living arrangement, income, or
resources, that may affect MEPD eligibility; and
(3) at the appropriate time based on an
anticipated change in the person's circumstances.
(b) If the result of an eligibility redetermination causes an adverse action, HHSC:
(1) gives timely and adequate notice of the
proposed action to terminate, discontinue, or suspend MEPD
eligibility;
(2) gives timely and
adequate notice to reduce or discontinue MEPD services; and
(3) informs the person of the right to
request a hearing to appeal the adverse action in accordance with 42 CFR Part
431, Subpart E and HHSC's fair hearing rules in Chapter 357 of this title
(relating to Hearings).
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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