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Texas Statutes (Last Updated: January 4, 2014) |
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HEALTH AND SAFETY CODE |
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Title 2. HEALTH |
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Subtitle C. PROGRAMS PROVIDING HEALTH CARE BENEFITS AND SERVICES |
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Chapter 62. CHILD HEALTH PLAN FOR CERTAIN LOW-INCOME CHILDREN |
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Subchapter C. ELIGIBILITY FOR COVERAGE UNDER CHILD HEALTH PLAN |
Sec. 62.102. CONTINUOUS COVERAGE
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(a) Subject to a review under Subsection (b), the commission shall provide that an individual who is determined to be eligible for coverage under the child health plan remains eligible for those benefits until the earlier of:
(1) the end of a period not to exceed 12 months, beginning the first day of the month following the date of the eligibility determination; or
(2) the individual's 19th birthday.
(b) During the sixth month following the date of initial enrollment or reenrollment of an individual whose net family income exceeds 185 percent of the federal poverty level, the commission shall:
(1) review the individual's net family income and may use electronic technology if available and appropriate; and
(2) continue to provide coverage if the individual's net family income does not exceed the income eligibility limits prescribed by this chapter.
(c) If, during the review required under Subsection (b), the commission determines that the individual's net family income exceeds the income eligibility limits prescribed by this chapter, the commission may not disenroll the individual until:
(1) the commission has provided the family an opportunity to demonstrate that the family's net family income is within the income eligibility limits prescribed by this chapter; and
(2) the family fails to demonstrate such eligibility.
(d) The commission shall provide written notice of termination of eligibility to the individual not later than the 30th day before the date the individual's eligibility terminates.