Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 370 - STATE CHILDREN'S HEALTH INSURANCE PROGRAM
Subchapter B - APPLICATION SCREENING, REFERRAL, PROCESSING, RENEWAL, AND DISENROLLMENT
Division 7 - DISENROLLMENT
Section 370.70 - Income Eligibility Check in 6th Month of Coverage

Universal Citation: 1 TX Admin Code ยง 370.70

Current through Reg. 49, No. 38; September 20, 2024

(a) CHIP households enrolled in a 12-month coverage period with income levels above 185% FPL will have the household income reviewed during the sixth month of coverage. The household remains eligible for coverage if the household income remains within income eligibility limits described in § RSA 370.44 of this title (relating to Income and Assets).

(b) CHIP households described in subsection (a) will be disenrolled if:

(1) the household income is determined to exceed the income eligibility limits described in § RSA 370.44 of this title;

(2) the household fails to provide requested income information within the timeframes set by HHSC; or

(3) the household otherwise fails to cooperate with HHSC in the review process.

(c) HHSC will not disenroll members from the program pursuant to this provision, until:

(1) HHSC has provided the family an opportunity to demonstrate that the family's income is within the income eligibility limits prescribed in this chapter;

(2) the family fails to demonstrate such eligibility within the timeframes set by HHSC; and.

(3) HHSC has provided the family 30 days notice prior to disenrollment.

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