SECTION 370.307. Continuous Enrollment Period

(a) CHIP enrollment always begins on the first calendar day of the month and continues for a period up to 12 consecutive months.

(b) Exceptions to continuous enrollment include, but are not limited to:

(1) a sibling member in the home has an earlier initial date of coverage, in which case the coverage period for the newly enrolled child will be the remaining period of coverage of the already enrolled sibling;

(2) aging out when the member turns 19;

(3) change in health or dental insurance status (parent acquires employer coverage);

(4) family moves out of state;

(5) death of the member;

(6) data match reveals member is enrolled in both CHIP and Medicaid;

(7) notification of member's pregnancy;

(8) failure to drop current health insurance if member was determined to be CHIP-eligible due to the 10 percent rule regarding the cost of the current insurance;

(9) direction by HHSC based on evidence that the member's original eligibility determination was incorrect; or

(10) member becomes a resident of an institution as defined in 42 C.F.R §457.310(c)(2).

Source Note: The provisions of this §370.307 adopted to be effective September 1, 2003, 28 TexReg 7337; amended to be effective January 1, 2006, 30 TexReg 8666; amended to be effective September 1, 2007, 32 TexReg 5359; amended to be effective March 1, 2012, 37 TexReg 1301; amended to be effective November 20, 2016, 41 TexReg 9008