- (a) Except for an applicant described in subsection (b) or (c) of this section, the Texas Department of Family and Protective Services certifies that an applicant's income and resources meet eligibility requirements and notifies the Texas Health and Human Services Commission (HHSC) to authorize Medicaid coverage.
- (b) An applicant who, on his or her 18th birthday, was in foster care under the responsibility of a State other than Texas applies for Medicaid for Transitioning Foster Care Youth (MTFCY) as described in subsections (d) - (f) of this section.
- (c) An applicant who previously received MTFCY benefits, and desires to reapply for MTFCY, reapplies for MTFCY as described in subsections (d) - (f) of this section.
(d) For an applicant described in subsection (b) or (c) of this section, the applicant, authorized representative, or someone acting responsibly for the applicant (if the applicant is incompetent or incapacitated) must:
(1) use the application for assistance prescribed by HHSC and complete it according to HHSC instructions:
- (A) in writing, using a paper application obtained via telephone or other means;
- (B) over the telephone, through the State's toll-free telephone number; or
- (C) in person, by visiting an HHSC benefits office;
- (2) provide all requested information according to HHSC instructions; and
- (3) sign the application for assistance under penalty of perjury.
- (e) If someone helps an applicant, authorized representative, or person acting responsibly for the applicant complete the application for assistance, the name of the person completing the form must appear as requested on the application.
- (f) If HHSC sends an applicant, authorized representative, or person acting responsibly a request for missing information or verification documents, or both, the applicant, authorized representative, or person acting responsibly must provide the requested information to HHSC by the due date given in the request, or eligibility may be denied.
Source Note:The provisions of this §366.613 adopted to be effective June 9, 2010, 35 TexReg 4661.