Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 370 - STATE CHILDREN'S HEALTH INSURANCE PROGRAM
Subchapter C - ENROLLMENT, RENEWAL, DISENROLLMENT, AND COST SHARING
Division 1 - ENROLLMENT AND DISENROLLMENT
Section 370.307 - Continuous Enrollment Period
Universal Citation: 1 TX Admin Code ยง 370.307
Current through Reg. 49, No. 38; September 20, 2024
(a) CHIP enrollment always begins on the first calendar day of the month and continues for a period up to 12 consecutive months.
(b) A pregnant CHIP member is eligible to receive coverage until the end of the member's 12-month postpartum period even if the member turns nineteen years old.
(c) Exceptions to continuous enrollment include, but are not limited to:
(1) a sibling member in the home has an
earlier initial date of coverage, in which case the coverage period for the
newly enrolled child will be the remaining period of coverage of the already
enrolled sibling;
(2) aging out
when the member turns 19;
(3)
family moves out of state;
(4)
death of the member;
(5) data match
reveals member is enrolled in both CHIP and Medicaid;
(6) failure to drop current health insurance
if member was determined to be CHIP-eligible due to the 10 percent rule
regarding the cost of the current insurance;
(7) direction by HHSC based on evidence that
the member's original eligibility determination was incorrect; or
(8) child becomes eligible for
Medicaid.
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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