Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 370 - STATE CHILDREN'S HEALTH INSURANCE PROGRAM
Subchapter D - ELIGIBILITY FOR UNBORN CHILDREN
Section 370.401 - Perinates
Universal Citation: 1 TX Admin Code ยง 370.401
Current through Reg. 49, No. 38; September 20, 2024
(a) An unborn child, also referred to as a "perinate," is eligible for CHIP if:
(1) the
mother of the perinate is not eligible for Medicaid; and
(2) he or she meets CHIP income eligibility
requirements in §
RSA 370.44 of
this chapter (relating to Income and Assets) and Subchapter I of this chapter
(relating to Modified Adjusted Gross Income Methodology).
(b) A perinate who is CHIP eligible under subsection (a) of this section is:
(1)
eligible for a 12-month continuous period if the household income is greater
than 185% of FPL;
(2) exempt from
the 90-day waiting period in §
RSA 370.46 of this
chapter (relating to Waiting Period);
(3) exempt from cost sharing in §
RSA
370.321 of this chapter (relating to
Requirements and Exemptions); and
(4) exempt from the requirements in §
RSA
370.70 of this chapter (relating to Income
Eligibility Check in 6th Month of Coverage).
(c) HHSC's designee is required to expedite eligibility and enrollment for perinates so as to allow quick access to healthcare.
(d) The Applicant for a perinate has the right to file a Medicaid application at any time after the child is born. If the child is eligible for Medicaid, the child will be enrolled in Medicaid.
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