1 Tex. Admin. Code § 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
§
366.307 of this chapter (relating
to Eligible Group);
(B) a newborn
with household income less than or equal to the limited stated in §
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 §
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 §
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 §
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.
Notes
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