# 1 Tex. Admin. Code § 366.811: 1 TAC § 366.811. Application Processing

> Texas · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_811

## Section

- **Citation:** 1 Tex. Admin. Code § 366.811
- **Heading:** 1 TAC § 366.811. 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 § 366.811

## Text

(a) HHSC processes Medically Needy Program 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 reconsiders the eligibility of a recipient
 who is terminated for failure to submit a renewal form or necessary
 information, so long as the recipient complies with the missed requirements
 within 90 days after the date of termination. HHSC otherwise requires
 the recipient to file a new application.
(g) 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.
(h) For a pregnant 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 women who provide postponed
 verifications by the 30th day after the application date; and
(3) denies the coverage of those who fail to meet the
 30-day deadline.
(i) There are no conditions limiting the designation
 of an authorized representative.

## Nearby sections

- [1 Tex. Admin. Code § 366.801 1 TAC § 366.801. Purpose and Scope](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_801.md)
- [1 Tex. Admin. Code § 366.803 1 TAC § 366.803. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_803.md)
- [1 Tex. Admin. Code § 366.805 1 TAC § 366.805. General Eligibility Requirements](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_805.md)
- [1 Tex. Admin. Code § 366.807 1 TAC § 366.807. Eligible Groups](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_807.md)
- [1 Tex. Admin. Code § 366.809 1 TAC § 366.809. Application Requirements](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_809.md)
- [1 Tex. Admin. Code § 366.811 1 TAC § 366.811. Application Processing](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_811.md)
- [1 Tex. Admin. Code § 366.813 1 TAC § 366.813. Citizenship](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_813.md)
- [1 Tex. Admin. Code § 366.815 1 TAC § 366.815. Social Security Number](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_815.md)
- [1 Tex. Admin. Code § 366.817 1 TAC § 366.817. Residence](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_817.md)
- [1 Tex. Admin. Code § 366.819 1 TAC § 366.819. Relationship and Domicile](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_819.md)
- [1 Tex. Admin. Code § 366.821 1 TAC § 366.821. Child Support and Medical Support](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_821.md)
- [1 Tex. Admin. Code § 366.823 1 TAC § 366.823. Income Limits](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_823.md)
- [1 Tex. Admin. Code § 366.825 1 TAC § 366.825. Third-Party Resources](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_825.md)
- [1 Tex. Admin. Code § 366.827 1 TAC § 366.827. Medicaid Eligibility Effective Date](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_827.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C366_S366_811. Check the current official text before relying on it. Not legal advice.