SECTION 366.231. Medicaid Eligibility Effective Date  


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  • (a) The Medicaid eligibility effective date is the date the qualified hospital or qualified entity makes the presumptive eligibility determination.

    (b) In accordance with 42 C.F.R. §435.1102(b)(2)(iv), eligibility for the Presumptive Medicaid Program ends with (and includes) the earlier of:

    (1) the date HHSC makes an eligibility determination for regular Medicaid if a Medicaid application is filed by the last day of the following month; or

    (2) the last day of the month after the month the qualified hospital or qualified entity made the presumptive eligibility determination if a Medicaid application is not filed by the last day of the following month.

Source Note: The provisions of this §366.231 adopted to be effective January 18, 2015, 40 TexReg 31