1 Tex. Admin. Code § 366.213

Current through Reg. 49, No. 25; June 21, 2024
Section 366.213 - Eligible Groups

To qualify for the Presumptive Medicaid Program, an applicant must:

(1) be--
(A) a pregnant woman with household income less than or equal to the limit for Pregnant Women's Medicaid as stated in § RSA 366.307 of this chapter (relating to Eligible Group);
(B) a newborn with household income less than or equal to the limited stated in § RSA 366.507(1) of this chapter (relating to Eligible Groups);
(C) a child age one through 18 years of age with household income less than or equal to the limit stated in § RSA 366.507(2) of this chapter;
(D) a parent or caretaker relative of a dependent child who receives Medicaid and meets the income eligibility criteria stated in § RSA 366.723 of this chapter (relating to Income Eligibility); or
(E) an individual who was under the conservatorship of this State upon attaining age 18, received Medicaid at the time he or she left foster care, and is 18 through 25 years of age as stated in § RSA 366.1011 of this chapter (relating to Eligible Group);
(2) not currently receiving benefits under Medicaid or the Children's Health Insurance Program; and
(3) not have received a presumptive eligibility segment--
(A) during her current pregnancy; or
(B) within the past two calendar years for children under age 19, parents or caretaker relatives, or former foster care children.

1 Tex. Admin. Code § 366.213

The provisions of this §366.213 adopted to be effective June 9, 2010, 35 TexReg 4661; Amended by Texas Register, Volume 40, Number 01, January 2, 2015, TexReg 33, eff. 1/18/2015