|(a) HHSC processes Children's Medicaid applications
received electronically, by paper, or by telephone.
(b) HHSC allows any office of a state health and human
services agency to accept an initial application.
(c) HHSC contracts with third parties to accept applications
from hospital districts (including state-owned teaching hospitals),
federally qualified health centers, and county health departments.
(d) HHSC may conduct an interview with an initial applicant.
(e) HHSC reopens a denied initial application, so long
as the applicant complies with the missed requirements within 60 days
after the date the application was submitted. HHSC otherwise requires
the applicant to file a new application.
(f) HHSC reconsiders the eligibility of a recipient
who is terminated for failure to submit a renewal form or necessary
information, so long as the recipient complies with the missed requirements
within 90 days after the date of termination. HHSC otherwise requires
the recipient to file a new application.
(g) HHSC may reopen an application for three months
prior coverage if:
(1) within two years after the application was filed,
the applicant requests that the application be reopened; and
(2) a Medicaid eligibility determination was not previously
made for the three-month prior period.