Texas Administrative Code (Last Updated: March 27,2024) |
TITLE 1. ADMINISTRATION |
PART 15. TEXAS HEALTH AND HUMAN SERVICES COMMISSION |
CHAPTER 361. MEDICAID BUY-IN FOR CHILDREN PROGRAM |
SECTION 361.117. Notice of Eligibility Determination and Right to Appeal
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(a) After making an eligibility determination on an initial application, HHSC sends the applicant: (1) a written notice of eligibility, including notice of any monthly premium requirements and the medical effective date described in §361.119 of this chapter (relating to Medical Effective Date); or (2) a written notice of ineligibility and the reason for the decision. (b) After making an eligibility determination or redetermination, HHSC sends the recipient a written notice of any change in eligibility or monthly premium requirement. (c) The written notice informs the applicant or recipient of the right to request a hearing to appeal HHSC's decision. The hearing is held in accordance with 42 CFR Part 431, Subpart E and HHSC's fair hearing rules in Chapter 357 of this title (relating to Hearings). Source Note: The provisions of this §361.117 adopted to be effective January 1, 2011, 35 TexReg 11572