tx-July32026-3: 1 TAC §358.540 (Amendment) — Medicaid Eligibility for the Elderly and People with Disabilities
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The executive commissioner of the Texas Health and Human Services Commission (HHSC) proposes an amendment to §358.540, concerning Medical Effective Date. BACKGROUND AND PURPOSE The proposal is necessary to comply with federal requirements. Federal regulations at 42 CFR §435.926 require HHSC to provide 12 months of continuous Medicaid coverage for all children under 19 years of age, regardless of most changes in family income or circumstance. SECTION-BY-SECTION SUMMARY The proposed amendment to §358.540 adds new subsection (c) to align HHSC policy with 42 CFR §435.926 requirements. Proposed subsection (c) provides newborns and all recipients under 19 years of age receiving Medicaid, continuous eligibility for 12 months, regardless of changes in family income or circumstances. Proposed subsection (c) establishes when the 12 months of continuous eligibility begins and ends for a newborn and recipients under 19 years of age. FISCAL NOTE Trey Wood, Chief Financial and Operations Officer, has determined that for each year of the first five years that the rule will be in effect, enforcing or administering the rule does not have foreseeable implications relating to costs or revenues of...
The agency’s own summary, as published.
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