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Texas Administrative Code (Last Updated: March 27,2024) |
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TITLE 1. ADMINISTRATION |
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PART 15. TEXAS HEALTH AND HUMAN SERVICES COMMISSION |
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CHAPTER 366. MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES |
| SUBCHAPTER B. PRESUMPTIVE MEDICAID PROGRAM |
| DIVISION 1. GENERAL |
| § 366.201. Purpose and Scope |
| § 366.203. Definitions |
| DIVISION 2. ELIGIBILITY REQUIREMENTS |
| § 366.211. General Eligibility Requirements |
| § 366.213. Eligible Group |
| § 366.215. Application Requirements and Processing |
| § 366.217. Citizenship |
| § 366.219. Social Security Number |
| § 366.221. Residence |
| § 366.223. Income Limits |
| § 366.225. Determination of Household Composition |
| § 366.227. Calculation of Household Income |
| § 366.229. Third-party Resources |
| § 366.231. Medicaid Eligibility Effective Date |
| § 366.233. Resident of an Institution for Mental Diseases |
| § 366.235. Inmates of Public Institutions |
| § 366.237. Right to Appeal |
| DIVISION 3. PROVIDER REQUIREMENTS |
| § 366.251. Qualified Hospital and Qualified Entity Eligibility Requirements |
| DIVISION 4. OVERSIGHT |
| § 366.261. Oversight of Qualified Hospitals and Qualified Entities |
| § 366.263. HHSC Responsibilities to Qualified Hospitals and Qualified Entities |
| SUBCHAPTER C. PREGNANT WOMEN'S MEDICAID |
| § 366.301. Purpose and Scope |
| § 366.303. Definitions |
| § 366.305. General Eligibility Requirements |
| § 366.307. Eligible Group |
| § 366.309. Application Requirements |
| § 366.311. Application Processing |
| § 366.313. Citizenship |
| § 366.315. Social Security Number |
| § 366.317. Residence |
| § 366.319. Child Support and Medical Support |
| § 366.321. Income Levels |
| § 366.323. Third-Party Resources |
| § 366.325. Medical Eligibility Effective Date |
| § 366.327. Resident of an Institution for Mental Diseases |
| § 366.329. Inmates of Public Institutions |
| § 366.331. Information from Other Agencies |
| § 366.333. Requirement to Report Changes |
| § 366.335. Right to Appeal |
| SUBCHAPTER D. MEDICAID FOR BREAST AND CERVICAL CANCER |
| § 366.401. Purpose and Scope |
| § 366.403. Definitions |
| § 366.405. Eligible Group |
| § 366.407. Eligibility Requirements |
| § 366.409. Application Requirements and Processing |
| § 366.411. Medicaid Eligibility Effective Date |
| § 366.413. Inmates of Public Institutions |
| § 366.415. Eligibility Renewal |
| § 366.417. Information from Other Agencies |
| § 366.419. Requirement to Report Changes |
| § 366.421. Right to Appeal |
| SUBCHAPTER E. CHILDREN'S MEDICAID |
| § 366.501. Purpose and Scope |
| § 366.503. Definitions |
| § 366.505. General Eligibility Requirements |
| § 366.507. Eligible Groups |
| § 366.509. Application Requirements |
| § 366.511. Application Processing |
| § 366.513. Citizenship |
| § 366.515. Social Security Number |
| § 366.517. Residence |
| § 366.519. Relationship and Domicile |
| § 366.521. Child Support and Medical Support |
| § 366.523. Income Limits |
| § 366.525. Third-Party Resources |
| § 366.527. Medicaid Eligibility Effective Date |
| § 366.529. Resident of an Institution for Mental Diseases |
| § 366.531. Inmates of Public Institutions |
| § 366.533. Eligibility Renewal |
| § 366.535. Comprehensive Health Care Requirements |
| § 366.537. Information from Other Agencies |
| § 366.539. Requirement to Report Changes |
| § 366.541. Right to Appeal |
| SUBCHAPTER F. MEDICAID FOR TRANSITIONING FOSTER CARE YOUTH |
| § 366.601. Purpose and Scope |
| § 366.603. Definitions |
| § 366.605. Program Administration |
| § 366.607. Legal Basis |
| § 366.609. General Eligibility Requirements |
| § 366.611. Eligible Group |
| § 366.613. Application Requirements |
| § 366.615. Application Processing |
| § 366.617. Citizenship |
| § 366.619. Social Security Number |
| § 366.621. Residence |
| § 366.623. Income Limits |
| § 366.625. Medicaid Eligibility Effective Dates |
| § 366.627. Resident of an Institution for Mental Diseases |
| § 366.629. Inmates of Public Institutions |
| § 366.631. Eligibility Renewal |
| § 366.633. Information from Other Agencies |
| § 366.635. Requirement to Report Changes |
| § 366.637. Right to Appeal |
| SUBCHAPTER G. MEDICAID FOR PARENTS AND CARETAKER RELATIVES PROGRAM |
| § 366.701. Purpose and Scope |
| § 366.703. Definitions |
| § 366.705. General Eligibility Requirements |
| § 366.707. Eligible Group |
| § 366.709. Application Requirements |
| § 366.711. Application Processing |
| § 366.713. Citizenship |
| § 366.715. Social Security Number |
| § 366.717. Residence |
| § 366.719. Relationship and Domicile |
| § 366.721. Medical Support |
| § 366.723. Income Eligibility |
| § 366.725. Third-Party Resources |
| § 366.727. Medicaid Eligibility Effective Date |
| § 366.729. Resident of an Institution for Mental Diseases |
| § 366.731. Inmates of Public Institutions |
| § 366.733. Retroactive Coverage |
| § 366.735. Four Months Post-Medicaid Eligibility |
| § 366.737. Twelve-Month Transitional Medicaid |
| § 366.739. Eligibility Renewal |
| § 366.741. Information from Other Agencies |
| § 366.743. Requirement to Report Changes |
| § 366.745. Right to Appeal |
| SUBCHAPTER H. MEDICALLY NEEDY PROGRAM |
| § 366.801. Purpose and Scope |
| § 366.803. Definitions |
| § 366.805. General Eligibility Requirements |
| § 366.807. Eligible Groups |
| § 366.809. Application Requirements |
| § 366.811. Application Processing |
| § 366.813. Citizenship |
| § 366.815. Social Security Number |
| § 366.817. Residence |
| § 366.819. Relationship and Domicile |
| § 366.821. Child Support and Medical Support |
| § 366.823. Income Limits |
| § 366.825. Third-Party Resources |
| § 366.827. Medicaid Eligibility Effective Date |
| § 366.829. Resident of an Institution for Mental Diseases |
| § 366.831. Inmates of Public Institutions |
| § 366.833. Exemption for Newborns |
| § 366.835. Comprehensive Health Care Requirements |
| § 366.837. Information from Other Agencies |
| § 366.839. Requirement to Report Changes |
| § 366.841. Right to Appeal |
| § 366.843. Resources |
| § 366.845. Vehicles |
| § 366.847. Exempt Resources |
| SUBCHAPTER I. EMERGENCY MEDICAL SERVICES FOR ALIENS INELIGIBLE FOR REGULAR MEDICAID |
| § 366.901. Legal Basis |
| § 366.903. Application and Eligibility Requirements |
| SUBCHAPTER J. FORMER FOSTER CARE CHILDREN'S PROGRAM |
| § 366.1001. Purpose and Scope |
| § 366.1003. Definitions |
| § 366.1005. Program Administration |
| § 366.1007. Legal Basis |
| § 366.1009. General Eligibility Requirements |
| § 366.1011. Eligible Group |
| § 366.1013. Application Requirements |
| § 366.1015. Application Processing |
| § 366.1017. Citizenship |
| § 366.1019. Social Security Number |
| § 366.1021. Residence |
| § 366.1023. Third-Party Resources |
| § 366.1025. Medicaid Eligibility Effective Dates |
| § 366.1027. Resident of an Institution for Mental Diseases |
| § 366.1029. Inmates of Public Institutions |
| § 366.1031. Eligibility Renewal |
| § 366.1033. Information from Other Agencies |
| § 366.1035. Requirement to Report Changes |
| § 366.1037. Right to Appeal |
| SUBCHAPTER K. MODIFIED ADJUSTED GROSS INCOME METHODOLOGY |
| § 366.1101. Purpose and Scope |
| § 366.1103. Definitions |
| § 366.1105. Methodology |
| § 366.1107. Determination of Household Composition |
| § 366.1109. Calculation of Individual Income |
| § 366.1111. Determination Regarding Inclusion of Individual Income in the Household Income |
| § 366.1113. Calculation of Household Income |
| § 366.1115. Modification |
| SUBCHAPTER L. MEDICAID FOR YOUTH UNDER THE INTERSTATE COMPACT ON THE PLACEMENT OF CHILDREN |
| § 366.1201. Purpose and Eligibility |