# 1 Tex. Admin. Code § 366.201: 1 TAC § 366.201. Purpose and Scope, DIVISION 1. GENERAL > Texas · Regulations · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_201 ## Section - **Citation:** 1 Tex. Admin. Code § 366.201 - **Heading:** 1 TAC § 366.201. Purpose and Scope, DIVISION 1. GENERAL - **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 366 MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES / 1 TAC § 366.201 ## Text (a) This subchapter establishes the criteria: (1) for a pregnant woman, a child under the age of 19, a parent or caretaker relative, or a former foster care child to receive medical care under the Presumptive Medicaid Program; and (2) for a qualified hospital or qualified entity as defined in §366.203 of this division (relating to Definitions) to provide services under the Presumptive Medicaid Program. (b) In accordance with 42 C.F.R. §435.1102 and §435.1103, the Presumptive Medicaid Program provides medical coverage as described in subsection (c) of this section, for a limited time, to individuals whose presumptive eligibility has been determined by a qualified hospital or qualified entity. The Texas Health and Human Services Commission administers the program through qualified hospitals and qualified entities, as provided in §366.251 of this subchapter (relating to Qualified Hospital and Qualified Entity Eligibility Requirements). (c) In accordance with 42 C.F.R. §435.1102 and §435.1103, the Presumptive Medicaid Program provides partial or full Medicaid coverage for a limited time. (1) For pregnant women, the Presumptive Medicaid Program covers all medically necessary services, except labor, delivery, inpatient services, and Texas Health Steps services; and (2) For children under the age of 19, parents and caretaker relatives, and former foster care children, the Presumptive Medicaid Program provides full Medicaid coverage. (d) Nothing in this subchapter shall be construed to violate 42 U.S.C. §1396 (gg)(2), which requires states to retain eligibility standards, methodologies, or procedures that were in effect on March 23, 2010. ## Nearby sections - [1 Tex. Admin. Code § 366.201 1 TAC § 366.201. Purpose and Scope, DIVISION 1. GENERAL](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_201.md) - [1 Tex. Admin. Code § 366.203 1 TAC § 366.203. Definitions, DIVISION 1. GENERAL](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_203.md) - [1 Tex. Admin. Code § 366.211 1 TAC § 366.211. General Eligibility Requirements, DIVISION 2. ELIGIBILITY REQUIREMENTS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_211.md) - [1 Tex. Admin. Code § 366.213 1 TAC § 366.213. Eligible Group, DIVISION 2. ELIGIBILITY REQUIREMENTS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_213.md) - [1 Tex. Admin. Code § 366.215 1 TAC § 366.215. Application Requirements and Processing, DIVISION 2. ELIGIBILITY REQUIREMENTS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_215.md) - [1 Tex. Admin. Code § 366.217 1 TAC § 366.217. Citizenship, DIVISION 2. ELIGIBILITY REQUIREMENTS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_217.md) - [1 Tex. Admin. Code § 366.219 1 TAC § 366.219. Social Security Number, DIVISION 2. ELIGIBILITY REQUIREMENTS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_219.md) - [1 Tex. Admin. Code § 366.221 1 TAC § 366.221. Residence, DIVISION 2. ELIGIBILITY REQUIREMENTS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_221.md) - [1 Tex. Admin. Code § 366.223 1 TAC § 366.223. Income Limits, DIVISION 2. ELIGIBILITY REQUIREMENTS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_223.md) - [1 Tex. Admin. Code § 366.225 1 TAC § 366.225. Determination of Household Composition, DIVISION 2. ELIGIBILITY REQUIREMENTS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_225.md) - [1 Tex. Admin. Code § 366.227 1 TAC § 366.227. Calculation of Household Income, DIVISION 2. ELIGIBILITY REQUIREMENTS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_227.md) - [1 Tex. Admin. Code § 366.229 1 TAC § 366.229. Third-party Resources, DIVISION 2. ELIGIBILITY REQUIREMENTS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_229.md) - [1 Tex. Admin. Code § 366.231 1 TAC § 366.231. Medicaid Eligibility Effective Date, DIVISION 2. ELIGIBILITY REQUIREMENTS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_231.md) - [1 Tex. Admin. Code § 366.233 1 TAC § 366.233. Resident of an Institution for Mental Diseases, DIVISION 2. ELIGIBILITY REQUIREMENTS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_233.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_201. Check the current official text before relying on it. Not legal advice.