1 Tex. Admin. Code § 370.307 - Continuous Enrollment Period
(a) CHIP
enrollment always begins on the first calendar day of the month and continues
for a period up to 12 consecutive months.
(b) A pregnant CHIP member is eligible to
receive coverage until the end of the member's 12-month postpartum period even
if the member turns nineteen years old.
(c) Exceptions to continuous enrollment
include, but are not limited to:
(1) a
sibling member in the home has an earlier initial date of coverage, in which
case the coverage period for the newly enrolled child will be the remaining
period of coverage of the already enrolled sibling;
(2) aging out when the member turns
19;
(3) family moves out of
state;
(4) death of the
member;
(5) data match reveals
member is enrolled in both CHIP and Medicaid;
(6) failure to drop current health insurance
if member was determined to be CHIP-eligible due to the 10 percent rule
regarding the cost of the current insurance;
(7) direction by HHSC based on evidence that
the member's original eligibility determination was incorrect; or
(8) child becomes eligible for
Medicaid.
Notes
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