Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 366 - MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES
Subchapter B - PRESUMPTIVE MEDICAID FOR PREGNANT WOMEN PROGRAM
Division 2 - ELIGIBILITY REQUIREMENTS
Section 366.213 - Eligible Groups
Universal Citation: 1 TX Admin Code ยง 366.213
Current through Reg. 49, No. 38; September 20, 2024
To qualify for the Presumptive Medicaid Program, an applicant must:
(1) be--
(A) a pregnant woman with household income
less than or equal to the limit for Pregnant Women's Medicaid as stated in
§
RSA 366.307 of
this chapter (relating to Eligible Group);
(B) a newborn with household income less than
or equal to the limited stated in §
RSA
366.507(1) of
this chapter (relating to Eligible Groups);
(C) a child age one through 18 years of age
with household income less than or equal to the limit stated in §
RSA
366.507(2) of
this chapter;
(D) a parent or
caretaker relative of a dependent child who receives Medicaid and meets the
income eligibility criteria stated in §
RSA 366.723 of
this chapter (relating to Income Eligibility); or
(E) an individual who was under the
conservatorship of this State upon attaining age 18, received Medicaid at the
time he or she left foster care, and is 18 through 25 years of age as stated in
§
RSA 366.1011 of
this chapter (relating to Eligible Group);
(2) not currently receiving benefits under Medicaid or the Children's Health Insurance Program; and
(3) not have received a presumptive eligibility segment--
(A) during her current
pregnancy; or
(B) within the past
two calendar years for children under age 19, parents or caretaker relatives,
or former foster care children.
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