1 TAC § 361.117. Notice of Eligibility Determination and Right to Appeal
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Texas Administrative Code › Title 1 ADMINISTRATION › Part 15 TEXAS HEALTH AND HUMAN SERVICES COMMISSION › Chapter 361 MEDICAID BUY-IN FOR CHILDREN PROGRAM › 1 TAC § 361.117
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(a) After making an eligibility determination on an initial application, HHSC sends the applicant:
(1) a written notice of eligibility, including notice of any monthly premium requirements and the medical effective date described in §361.119 of this chapter (relating to Medical Effective Date); or
(2) a written notice of ineligibility and the reason for the decision.
(b) After making an eligibility determination or redetermination, HHSC sends the recipient a written notice of any change in eligibility or monthly premium requirement.
(c) The written notice informs the applicant or recipient of the right to request a hearing to appeal HHSC's decision. The hearing is held in accordance with
42 CFR Part 431
, Subpart E and HHSC's fair hearing rules in Chapter 357 of this title (relating to Hearings).
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