1 Tex. Admin. Code § 358.535 - Notice of Eligibility Determination
(a)
After making an initial eligibility determination, the Texas Health and Human
Services Commission (HHSC) sends the applicant, in accordance with
42 C.F.R.
435.912:
(1) a written notice of eligibility,
including notice of any co-payment the person must pay and the medical
effective date described in §
358.540 of this subchapter
(relating to Medical Effective Date); or
(2) a written notice of ineligibility,
explaining the reason for the decision and the specific provision supporting
the decision.
(b) After
making an eligibility redetermination, HHSC sends the recipient a written
notice of any change in eligibility or co-payment.
(c) The written notice informs the applicant
or recipient of the right to request a hearing to appeal the eligibility
determination. The hearing is held in accordance with 42 CFR Part 431, Subpart
E and HHSC's fair hearing rules in Chapter 357 of this title (relating to
Hearings).
Notes
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