tx-July32026-5: 1 TAC §366.527 — Medicaid Eligibility for Women, Children, Youth, and Needy Families

Summary

STATUTORY AUTHORITY The amendment is authorized by Texas Government Code §524.0151, which provides that the executive commissioner of HHSC shall adopt rules for the operation and provision of services by the health and human services system, and Texas Human Resources Code §32.021, which requires the executive commissioner to adopt rules related to the administration of Medicaid. The amendment affects Texas Government Code §524.0151. § 366.527. Medicaid Eligibility Effective Date. (a) HHSC determines the Medicaid eligibility effective date for an applicant as follows. [:] (1) Medicaid coverage begins on the earliest day of the application month on which the applicant meets all eligibility criteria. (2) Retroactive coverage may begin as early as three months before the application month, except that a newborn's coverage begins no earlier than the child's date of birth. [(3) A recipient is continuously eligible for Medicaid for six months or through the month of the recipient's 19th birthday, whichever is earlier. A recipient who is a newborn has continuous eligibility through the month of his or her first birthday. If the applicant is eligible in the application or process month,...

The agency’s own summary, as published.