1 Tex. Admin. Code § 370.307

Current through Reg. 49, No. 52; December 27, 2024
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) A pregnant CHIP member is eligible to receive coverage until the end of the member's 12-month postpartum period even if the member turns nineteen years old.
(c) 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) family moves out of state;
(4) death of the member;
(5) data match reveals member is enrolled in both CHIP and Medicaid;
(6) 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;
(7) direction by HHSC based on evidence that the member's original eligibility determination was incorrect; or
(8) child becomes eligible for Medicaid.

1 Tex. Admin. Code § 370.307

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 by Texas Register, Volume 41, Number 46, November 11, 2016, TexReg 9009, eff. 11/20/2016; Amended by Texas Register, Volume 49, Number 21, May 24, 2024, TexReg 3797, eff. 6/2/2024