1 Tex. Admin. Code § 370.401
Perinates
Effective Jan 1, 201438 TexReg 9477Source Note: The provisions of this §370.401 adopted to be effective April 30, 2006, 31 TexReg 3527; amended to be effective September 1, 2007, 32 TexReg 5359; amended to be effective September 1, 2010, 35 TexReg 7726; amended to be effective January 1, 2014, 38 TexReg 9477.Texas Secretary of State
(a) An unborn child, also referred to as a "perinate," is eligible for CHIP if:
- (1) the mother of the perinate is not eligible for Medicaid; and
- (2) he or she meets CHIP income eligibility requirements in §370.44 of this chapter (relating to Income and Assets) and Subchapter I of this chapter (relating to Modified Adjusted Gross Income Methodology).
(b) A perinate who is CHIP eligible under subsection (a) of this section is:
- (1) eligible for a 12-month continuous period if the household income is greater than 185% of FPL;
- (2) exempt from the 90-day waiting period in §370.46 of this chapter (relating to Waiting Period);
- (3) exempt from cost sharing in §370.321 of this chapter (relating to Requirements and Exemptions); and
- (4) exempt from the requirements in §370.70 of this chapter (relating to Income Eligibility Check in 6th Month of Coverage).
- (c) HHSC's designee is required to expedite eligibility and enrollment for perinates so as to allow quick access to healthcare.
- (d) The Applicant for a perinate has the right to file a Medicaid application at any time after the child is born. If the child is eligible for Medicaid, the child will be enrolled in Medicaid.
Source Note:The provisions of this §370.401 adopted to be effective April 30, 2006, 31 TexReg 3527; amended to be effective September 1, 2007, 32 TexReg 5359; amended to be effective September 1, 2010, 35 TexReg 7726; amended to be effective January 1, 2014, 38 TexReg 9477.