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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 |
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SUBCHAPTER G. MEDICAID FOR PARENTS AND CARETAKER RELATIVES PROGRAM |
SECTION 366.737. Twelve-Month Transitional Medicaid
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(a) A recipient, certified as required by §1931 of the Social Security Act (42 U.S.C. §1396u-1) and §32.0255 of the Texas Human Resources Code, who is denied because of new or increased earnings may be eligible for 12-month transitional Medicaid, as provided by §1925 of the Social Security Act (42 U.S.C. §1396r-6). (b) To remain eligible for 12-month transitional Medicaid, a recipient must report changes in the fourth, seventh, and tenth months. (c) A recipient who reports changes is denied only for one or more of the following reasons: (1) no eligible child is in the home; (2) on the seventh- or tenth-month report, the caretaker relative had no earnings in one of the previous three months; or (3) the average monthly income exceeds 185% of the Federal Poverty Level on the seventh- or tenth-month report. Source Note: The provisions of this §366.737 adopted to be effective January 1, 2014, 38 TexReg 9467