# 1 Tex. Admin. Code § 361.117: 1 TAC § 361.117. Notice of Eligibility Determination and Right to Appeal

> Texas · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C361_S361_117

## Section

- **Citation:** 1 Tex. Admin. Code § 361.117
- **Heading:** 1 TAC § 361.117. Notice of Eligibility Determination and Right to Appeal
- **Jurisdiction:** Texas
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** 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

## Text

(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).

## Nearby sections

- [1 Tex. Admin. Code § 361.101 1 TAC § 361.101. Overview and Purpose](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C361_S361_101.md)
- [1 Tex. Admin. Code § 361.103 1 TAC § 361.103. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C361_S361_103.md)
- [1 Tex. Admin. Code § 361.105 1 TAC § 361.105. Applying and Providing Information](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C361_S361_105.md)
- [1 Tex. Admin. Code § 361.107 1 TAC § 361.107. Nonfinancial Requirements](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C361_S361_107.md)
- [1 Tex. Admin. Code § 361.109 1 TAC § 361.109. Third-party Resources](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C361_S361_109.md)
- [1 Tex. Admin. Code § 361.111 1 TAC § 361.111. Income](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C361_S361_111.md)
- [1 Tex. Admin. Code § 361.113 1 TAC § 361.113. Employer-sponsored Health Insurance](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C361_S361_113.md)
- [1 Tex. Admin. Code § 361.115 1 TAC § 361.115. Cost Sharing](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C361_S361_115.md)
- [1 Tex. Admin. Code § 361.117 1 TAC § 361.117. Notice of Eligibility Determination and Right to Appeal](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C361_S361_117.md)
- [1 Tex. Admin. Code § 361.119 1 TAC § 361.119. Medical Effective Date](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C361_S361_119.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C361_S361_117. Check the current official text before relying on it. Not legal advice.