SECTION 370.45. Medicaid Eligibility

(a) HHSC or its designee will review all applications to determine eligibility for either Medicaid or CHIP.

(1) All children on the Application requesting health care coverage will be tested for Medicaid eligibility. If any child meets Medicaid eligibility criteria, the child will be determined Medicaid eligible.

(2) If a child does not meet Medicaid eligibility, the Application will be tested for CHIP eligibility. If any child meets CHIP eligibility criteria, the child will be determined CHIP eligible.

(b) Once eligibility has been determined, a letter is sent to the Applicant containing the results of the determination, effective dates and enrollment information, where appropriate.

(c) A child who meets all Medicaid eligibility requirements is not eligible for CHIP.

Source Note: The provisions of this §370.45 adopted to be effective April 4, 2001, 26 TexReg 2519; amended to be effective January 1, 2006, 30 TexReg 8666