In this subchapter, words and terms have the following meanings, unless the context clearly indicates otherwise:
(1) Applicant--An individual who applies for health and dental care coverage on behalf of the child. An applicant can only be:
- (A) a child's parent, whether biological or adoptive;
- (B) a child's grandparent, relative, or other adult who provides care for the child;
- (C) a minor not living with an adult applying for himself/herself;
- (D) a child's step-parent; or
- (E) a taxpayer who expects to claim the child on a federal income tax return for the taxable year in which CHIP eligibility is requested.
- (2) Child--An adoptive, step, or natural child who is under age 19.
- (3) Family size--The number of persons counted as members of an individual's household composition.
- (4) Federal Poverty Income Level (FPL)--The income guidelines issued annually and published in the Federal Register by the U.S. Department of Health and Human Services.
- (5) HHSC--The Texas Health and Human Services Commission.
- (6) MAGI--Modified adjusted gross income.
- (7) Non-custodial parent--A parent who does not have custody of a child pursuant to a court order, or binding agreement of separation or divorce.
- (8) Parent--An individual who is the adoptive, step, or natural parent of a child.
- (9) Recipient--An individual receiving CHIP services, including a person who is renewing eligibility for CHIP.
- (10) Sibling--An individual under age 19 who is an adoptive, step, or natural sibling of a child.
- (11) Tax dependent--An individual who expects to be claimed as a dependent on a federal income tax return for the taxable year in which CHIP eligibility is requested.
(12) Taxpayer--An individual, or a married couple, who expects:
- (A) to file a federal income tax return for the taxable year in which CHIP eligibility is requested;
- (B) if married, to file a joint federal income tax return for the taxable year in which CHIP eligibility is requested;
- (C) that no other taxpayer will be able to claim him, her, or them as a tax dependent on a federal income tax return for the taxable year in which CHIP eligibility is requested; or
- (D) to claim a personal exemption deduction on his or her federal income tax return for one or more applicants, who may or may not include himself or herself and his or her spouse.
- (13) Taxable year--The 12-month period between January and December that an individual uses to report income for federal income tax purposes.
Source Note:The provisions of this §370.803 adopted to be effective January 1, 2014, 38 TexReg 9477.