# 1 Tex. Admin. Code § 366.213: 1 TAC § 366.213. Eligible Group, DIVISION 2. ELIGIBILITY REQUIREMENTS

> Texas · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_213

## Section

- **Citation:** 1 Tex. Admin. Code § 366.213
- **Heading:** 1 TAC § 366.213. Eligible Group, DIVISION 2. ELIGIBILITY REQUIREMENTS
- **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 § 366.213

## Text

To qualify for the Presumptive Medicaid Program, an applicant
 must:
(1) be--
(A) a pregnant woman with household income less than
 or equal to the limit for Pregnant Women's Medicaid as stated in §366.307
 of this chapter (relating to Eligible Group);
(B) a newborn with household income less than or equal
 to the limit stated in §366.507(1) of this chapter (relating
 to Eligible Groups);
(C) a child age one through 18 years of age with household
 income less than or equal to the limit stated in §366.507(2)
 of this chapter;
(D) a parent or caretaker relative of a dependent child
 who receives Medicaid and meets the income eligibility criteria stated
 in §366.723 of this chapter (relating to Income Eligibility);
 or
(E) an individual who was under the conservatorship
 of this State upon attaining age 18, received Medicaid at the time
 he or she left foster care, and is 18 through 25 years of age as stated
 in §366.1011 of this chapter (relating to Eligible Group);
(2) not be currently receiving benefits under Medicaid
 or the Children's Health Insurance Program; and
(3) not have received a presumptive eligibility segment--
(A) during her current pregnancy; or
(B) within the past two calendar years for children
 under age 19, parents or caretaker relatives, or former foster care
 children.

## 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)
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- [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)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_213. Check the current official text before relying on it. Not legal advice.