Revision 18-2; Effective April 1, 2018

 

 

F—110 Application Procedures

Revision 15-4; Effective October 1, 2015

 

Section 17, Senate Bill 10, passed by the 80th Texas Legislature, Regular Session, 2007, requires the Texas Health and Human Services Commission (HHSC) to provide Medicaid coverage to certain former foster care youth attending school.

HHSC uses state funds to pay for the Former Foster Care in Higher Education (FFCHE) program. Since this program is funded entirely by the state, it is not considered Medicaid and is identified as a Health Care Benefits program instead of Medicaid or medical assistance.

Effective January 1, 2014, new individuals will not be certified for FFCHE. Individuals receiving FFCHE as of December 2013 and eligible for Former Foster Care Children (FFCC) transitioned to FFCC January 1, 2014. Applications and redeterminations for FFCHE disposed on or after January 1, 2014, will be reviewed for FFCC eligibility. Those individuals not eligible for FFCC will continue to receive FFCHE until they age out of the program or are no longer eligible, whichever comes first.

Exception: HHSC received federal approval to provide health care coverage for individuals living in Texas who aged out of foster care under an Interstate Compact on the Placement of Children (ICPC) agreement. These individuals may be eligible for FFCHE or Medicaid for Transitioning Foster Care Youth (MTFCY), explained in Part M, Medicaid for Transitioning Foster Care Youth (MTFCY).

 

F—111 Type of Assistance (TA) 77 – Health Care – FFCHE

Revision 18-2; Effective April 1, 2018

 

In order to be eligible for FFCHE benefits, individuals must:

  • have had an ICPC agreement*;
  • currently reside in Texas;
  • be ages 21 up to 23;
  • have been in any state's conservatorship or voluntary agency (VolAg) conservatorship on their 18th birthday;
  • be enrolled in an institution of higher education located in Texas;
  • not have adequate health coverage as defined by HHSC; and
  • meet all other Medical Programs eligibility criteria such as citizenship or alien eligibility.

* Centralized Benefit Services (CBS) staff must contact the Texas Department of Family and Protective Services (DFPS) to determine whether the individual had an ICPC agreement. DFPS has three business days to respond.

Exception: For individuals receiving FFCHE as of December 2013 who are not eligible for FFCC, income and deductions will continue to be factors in eligibility, following Medical Programs policy in A-1300, Income, and A-1400, Deductions, and the income limit for FFCHE (TA 77) in C-131.1, Federal Poverty Income Limits (FPIL).

CBS advisors are responsible for processing this caseload (applications, renewals, changes, etc.). This type of assistance is identified in the Texas Integrated Eligibility Redesign System (TIERS) as TA 77.

 

F—112 Application Processing

Revision 15-4; Effective October 1, 2015

 

Individuals who have had an ICPC agreement may apply by completing Form H1868, Application for Health Care Benefits. The Spanish version of the FFCHE application is Form H1868-S. Staff must determine whether the applicant is in need of the English or Spanish version when a request for an application is received.

Note: Advisors must also accept any of the applications explained in A-113, Application Requests and Submissions. CBS advisors must request any additional information needed to make an eligibility determination.

 

F—113 Requesting an Application

Revision 15-4; Effective October 1, 2015

 

Individuals who have had an ICPC agreement may request an FFCHE application by calling 2-1-1.

Note: If an individual requests an application at a local eligibility determination office, the advisor must refer the applicant to CBS and provide appropriate contact information.

On the same day the request is received, the advisor provides the applicant an application packet that includes:

  • Form H1868, Application for Health Care Benefits;
  • Form H1870, School Enrollment Verification Form;
  • Form H0025, HHSC Application for Voter Registration; and
  • a business reply envelope addressed to the HHSC Document Processing Center (DPC).

CBS advisors will send individuals who have had an ICPC agreement and are enrolled in MTFCY the following forms two months prior to aging out of MTFCY:

  • Forms H1868/H1868-S, Application for Health Care Benefits;
  • Forms H1870/H1870-S, School Enrollment Verification Form; and
  • a business reply envelope.

CBS advisors must document in TIERS Case Comments, "Special Review completed; Forms H1868 and H1870 mailed to client."

If an applicant requests help completing an application, a volunteer or staff member must provide assistance. Anyone assisting the applicant in completing a paper application must initial the part completed, or sign the form indicating assistance was provided.

Related Policy
Registering to Vote, A-1521

 

F—114 Authorized Representatives (AR)

Revision 15-4; Effective October 1, 2015

 

An individual may designate an individual or organization as an AR, following the policy explained in A-170, Authorized Representatives (AR).

 

F—120 Office Procedures

Revision 10-2; Effective April 1, 2010

 

 

F—121 Filing an Application

Revision 15-4; Effective October 1, 2015

 

Individuals who have had an ICPC agreement may submit Form H1868/H1868-S:

  • by mail to the HHSC DPC at:

    HHSC
    P.O. Box 149024
    Austin, TX 78714-9024

or

  • by toll-free fax to 1-877-447-2839.

Note: Applicants cannot submit Form H1868/H1868-S via telephone or online through YourTexasBenefits.com.

If a local eligibility determination office receives an application, staff must date stamp and fax the application to the DPC non-expedited fax line (1-877-447-2839) no later than the next business day.

Note: Advisors follow policy found in A-121, Receipt of Application, regarding what constitutes a valid application and what to do when the agency receives an incomplete application.

 

F—122 File Date

Revision 15-4; Effective October 1, 2015

 

The file date is the day any local eligibility determination office, call center vendor, or other HHSC-contracted entity accepts an application containing the applicant's name, address and an appropriate signature. The file date is considered day zero in the application process.

Advisors must document why a certain file date was used to determine eligibility when:

  • the file date used differs from the received date on the application, or
  • the application has two received dates (stamp dates).

Note: For applications received outside of normal business hours, the file date is the next business day.

 

F—130 Interviews

Revision 10-2; Effective April 1, 2010

 

 

F—131 General Policy

Revision 15-4; Effective October 1, 2015

 

An interview is not required when applying for or renewing an application for the FFCHE program. Advisors must schedule a phone interview only if the individual requests an interview. The State Portal Scheduler does not support scheduling an interview for the FFCHE program. Any requests for an interview must be scheduled manually.

Note: An application must not be denied if the applicant misses the interview, and the advisor should continue to determine eligibility.