SECTION 366.615. Application Processing  


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  • (a) HHSC processes applications received electronically, by paper, or by telephone.

    (b) HHSC reopens a denied initial application, so long as the applicant complies with the missed requirements within 60 days after the date the application was submitted. HHSC otherwise requires the applicant to file a new application.

    (c) HHSC reconsiders the eligibility of a recipient who is terminated for failure to submit a renewal form or necessary information, so long as the recipient complies with the missed requirements within 90 days after the date of termination. HHSC otherwise requires the recipient to file a new application.

    (d) HHSC reopens an application for three months prior coverage if:

    (1) within two years after the application was filed, the applicant requests that the application be reopened; and

    (2) a Medicaid eligibility determination was not previously made for the prior three-month period.

Source Note: The provisions of this §366.615 adopted to be effective January 1, 2014, 38 TexReg 9467; amended to be effective June 1, 2014, 39 TexReg 3981