1. (a) To be considered for program services, a complete application for admission to the program must be filed annually with the program administrator by mailing to the following address: Newborn Screening Program, Bureau of Children's Health, Texas Department of Health, 1100 West 49th Street, Austin, Texas 78756.

2. (b) The application must be signed by one of the following as appropriate:

   1. (1) an adult individual seeking services;
   2. (2) the parent(s), managing conservator(s), or guardian of a minor; or
   3. (3) the guardian of an adult under a temporary, limited, or general guardianship.
3. (c) An application signed with a mark must be attested to before a notary public.

4. (d) A complete application for program services shall consist of the following:

   1. (1) a properly completed and signed application form;
   2. (2) a statement from the individual or, if the individual is a minor, from the individual's parent, managing conservator, or guardian that the individual is a bona fide resident of the state and if requested by the program administrator, documentation of residency status;

   3. (3) a copy of the following:

      1. (A) if the individual is an adult, the individual's gross income on the latest Form 1040 filed with the Internal Revenue Service; or
      2. (B) if the individual is a minor, the individual's parent(s), managing conservator(s), or guardian's latest Form 1040 filed with the Internal Revenue Service, including gross income and number of dependents; or
      3. (C) if the individual is a ward, the guardian's latest appropriate form filed with the Internal Revenue Service; or
      4. (D) the Form 1040 of any other person with the duty to support the individual; and
   4. (4) the applicant or recipient shall inform the department of any other benefit to which the applicant, recipient, or person with a legal obligation to support the applicant or recipient may be entitled.

5. (e) An application shall be deemed incomplete for any one of the following reasons:

   1. (1) failure to provide all information requested in the application form;
   2. (2) lack of supporting documents;
   3. (3) failure to provide documentary evidence requested by the program, including documentation to verify residency or financial data; or
   4. (4) lack of, or improper signatures.

6. (f) An application will be reviewed and will be:

   1. (1) denied if eligibility requirements are not met;
   2. (2) returned, if incomplete, with the deficiencies noted to the individual or if the individual is a minor or a ward, to the individual's parent(s), managing conservator(s), or guardian as is appropriate, for completion and resubmission; or
   3. (3) approved if all criteria are met.
7. (g) The program will notify the individual of the eligibility decision in writing within 30 days from the date on which a complete application is received. If the eligibility decision is in favor of the individual, in the notice letter, the program will specify the amount of financial participation that the individual, or if the individual is a minor or a ward, the individual's parent(s), managing conservator(s), or guardian, as appropriate, will be required to make for program services and provide additional detailed information concerning the services and financial participation procedures.
8. (h) An individual's date eligibility will be considered to be the date on which the program determines that the application is substantially complete.

Source Note:The provisions of this §37.62 adopted to be effective February 2, 1989, 13 TexReg 6268; amended to be effective May 16, 1994, 19 TexReg 3369; amended to be effective December 17, 2002, 27 TexReg 11744.