# 1 Tex. Admin. Code § 366.311: 1 TAC § 366.311. Application Processing

> Texas · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_311

## Section

- **Citation:** 1 Tex. Admin. Code § 366.311
- **Heading:** 1 TAC § 366.311. Application Processing
- **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 § 366.311

## Text

(a) HHSC processes Pregnant Women's Medicaid applications
 received electronically, by paper, or by telephone.
(b) HHSC allows any office of a state health and human
 services agency to accept an initial application.
(c) HHSC contracts with third parties to accept applications
 from hospital districts (including state-owned teaching hospitals),
 federally qualified health centers, and county health departments.
(d) HHSC may conduct an interview with an initial applicant.
(e) HHSC reopens a denied initial application, so long
 as the applicant complies with the missed requirements within 60 days
 after the date the application was submitted. HHSC otherwise requires
 the applicant to file a new application.
(f) HHSC may reopen an application for three months
 prior coverage if:
(1) within two years after the application was filed,
 the applicant requests that the application be reopened; and
(2) a Medicaid eligibility determination was not previously
 made for the three-month prior period.
(g) For an applicant who is potentially eligible but
 unable to provide proof of eligibility, HHSC:
(1) postpones verifications and provides Medicaid coverage
 to ensure access to medical care within 30 days after the application
 date;
(2) continues the coverage of an applicant who provides
 postponed verification by the 30th day after the application date;
 and
(3) denies the coverage of an applicant who fails to
 meet the 30-day deadline.

## Nearby sections

- [1 Tex. Admin. Code § 366.301 1 TAC § 366.301. Purpose and Scope](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_301.md)
- [1 Tex. Admin. Code § 366.303 1 TAC § 366.303. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_303.md)
- [1 Tex. Admin. Code § 366.305 1 TAC § 366.305. General Eligibility Requirements](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_305.md)
- [1 Tex. Admin. Code § 366.307 1 TAC § 366.307. Eligible Group](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_307.md)
- [1 Tex. Admin. Code § 366.309 1 TAC § 366.309. Application Requirements](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_309.md)
- [1 Tex. Admin. Code § 366.311 1 TAC § 366.311. Application Processing](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_311.md)
- [1 Tex. Admin. Code § 366.313 1 TAC § 366.313. Citizenship](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_313.md)
- [1 Tex. Admin. Code § 366.315 1 TAC § 366.315. Social Security Number](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_315.md)
- [1 Tex. Admin. Code § 366.317 1 TAC § 366.317. Residence](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_317.md)
- [1 Tex. Admin. Code § 366.319 1 TAC § 366.319. Child Support and Medical Support](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_319.md)
- [1 Tex. Admin. Code § 366.321 1 TAC § 366.321. Income Levels](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_321.md)
- [1 Tex. Admin. Code § 366.323 1 TAC § 366.323. Third-Party Resources](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_323.md)
- [1 Tex. Admin. Code § 366.325 1 TAC § 366.325. Medical Eligibility Effective Date](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_325.md)
- [1 Tex. Admin. Code § 366.327 1 TAC § 366.327. Resident of an Institution for Mental Diseases](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_327.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_311. Check the current official text before relying on it. Not legal advice.