1 TAC § 366.217. Citizenship, DIVISION 2. ELIGIBILITY REQUIREMENTS

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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 § 366.217

This text was captured on Aug 14, 2026. It is a snapshot, not a live feed, so check the official code before relying on it.

Text

(a) An applicant for the Presumptive Medicaid Program must attest to being a citizen or national of the United States or to having an eligible immigration status. Verification of citizenship or immigration status is not required.

(b) In accordance with

42 C.F.R. §435.406

, to be eligible for the Presumptive Medicaid Program, an individual must be:

(1) a citizen or national of the United States;

(2) an alien who legally entered the United States before August 22, 1996, and who meets the eligibility criteria in

8 U.S.C. §1641

(b) or (c);

(3) an alien who legally entered the United States on or after August 22, 1996, and who meets the eligibility criteria in

8 U.S.C. §1612

(b) and §1613, except that a legal permanent resident alien is eligible after residing in the United States for five years only if the alien meets one of the following eligibility requirements:

(A) the alien is an honorably discharged veteran or active duty military personnel;

(B) the alien is a spouse, unmarried surviving spouse, or minor unmarried child of an honorably discharged veteran or active duty military personnel (if a surviving spouse of a deceased veteran or active duty military individual, the surviving spouse must not have remarried);

(C) the alien entered the United States before August 22, 1996, and remained continuously present in the United States (a single absence from the United States of more than 30 days or a combined absence of more than 90 days interrupts the "continuous presence") since at least August 21, 1996, until obtaining qualifying immigrant status (an alien who entered the United States without proper documents or overstayed his or her visa, is treated the same as an alien who entered and remained in the United States with valid immigration documents);

(D) the alien entered the United States with a status described in the

Texas Works Handbook,

Item A-342, Chart C or Chart D and meets those eligibility criteria, or meets the criteria in the

Texas Works Handbook,

Item A-343, How to Determine Eligibility for Battered Aliens; or

(E) the alien meets the 40 qualifying quarters requirements in the

Texas Works Handbook,

Item A-354, Verifying 40 "Qualifying Quarters," and five years have passed since the alien's legal date of entry; or

(4) an alien child 18 years of age or under who meets the definition of a qualified alien at

8 U.S.C. §1641

(b).

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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1 TAC § 366.217. Citizenship, DIVISION 2. ELIGIBILITY REQUIREMENTS · 1 Tex. Admin. Code § 366.217 | Frix