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 4 - OVERSIGHT
Section 366.263 - HHSC Responsibilities to Qualified Hospitals and Qualified Entities
Universal Citation: 1 TX Admin Code ยง 366.263
Current through Reg. 49, No. 38; September 20, 2024
(a) HHSC provides Medicaid during a presumptive eligibility period to individuals who are determined by a qualified hospital or qualified entity on the basis of preliminary information to be presumptively eligible for Medicaid.
(b) HHSC provides the qualified hospital or qualified entity with application forms for Medicaid and information on how to assist individuals in completing and filing such forms.
(c) HHSC establishes procedures to ensure that qualified hospitals and qualified entities adhere to the requirements in RSA 435.1102 (b)(2) relating to:
(1) notifying an individual determined
presumptively eligible orally and in writing of the presumptive eligibility
determination and the effective dates of the presumptive eligibility period;
(2) providing the individual with
a Medicaid application form;
(3)
notifying HHSC of the presumptive eligibility determination;
(4) notifying an individual determined not
presumptively eligible orally and in writing of the reason for the
determination and that he or she can file an application for Medicaid with
HHSC; and
(5) not delegating
authority to determine presumptive eligibility to another entity.
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