SECTION 366.403. Definitions

The following words and terms, when used in this subchapter, have the following meanings, unless the context clearly indicates otherwise.

(1) Applicant--A person seeking assistance under the Medicaid for Breast and Cervical Cancer Program (MBCC) who:

(A) has never received Medicaid and is not currently receiving Medicaid; or

(B) previously received Medicaid but subsequently was denied and reapplies for Medicaid.

(2) CFR--Code of Federal Regulations.

(3) Creditable coverage--A health insurance plan that covers any aspect of breast or cervical cancer treatment, including:

(A) a group health plan;

(B) health insurance coverage;

(C) Medicare (Part A or B);

(D) armed forces insurance;

(E) a state health benefits risk pool; and

(F) Medicaid coverage other than MBCC.

(4) Eligible group--A category of people who are eligible for MBCC. In other Medicaid programs, an eligible group may be called a coverage group.

(5) Medicaid--A state and federal cooperative program, authorized under Title XIX of the Social Security Act and the Texas Human Resources Code, that pays for certain medical and health care costs for people who qualify. Also known as the medical assistance program.

(6) Recipient--A person receiving MBCC services, including a person who is renewing eligibility for MBCC.

(7) Screen--A test for breast or cervical cancer conducted under the Centers for Disease Control and Prevention's Breast and Cervical Cancer Early Detection Program.

(8) Texas Health and Human Services Commission (HHSC)--The state agency that identifies and refers applicants for MBCC.

(9) Texas Works Handbook--An HHSC manual containing policies and procedures used to determine eligibility for Supplemental Nutrition Assistance Program (SNAP) food benefits, Temporary Assistance for Needy Families (TANF), and Medicaid programs for children and families.

(10) U.S.C.--United States Code.

Source Note: The provisions of this §366.403 adopted to be effective June 9, 2010, 35 TexReg 4661; amended to be effective March 20, 2023, 48 TexReg 1552