Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 361 - MEDICAID BUY-IN FOR CHILDREN PROGRAM
Section 361.117 - Notice of Eligibility Determination and Right to Appeal
Universal Citation: 1 TX Admin Code ยง 361.117
Current through Reg. 49, No. 12; March 22, 2024
(a) After making an eligibility determination on an initial application, HHSC sends the applicant:
(1) a written notice of eligibility,
including notice of any monthly premium requirements and the medical effective
date described in §
RSA
361.119 of this chapter (relating to Medical
Effective Date); or
(2) a written
notice of ineligibility and the reason for the decision.
(b) After making an eligibility determination or redetermination, HHSC sends the recipient a written notice of any change in eligibility or monthly premium requirement.
(c) The written notice informs the applicant or recipient of the right to request a hearing to appeal HHSC's decision. 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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