Revision 17-2; Effective April 1, 2017

 

 

W—510 General Policy

Revision 17-2; Effective April 1, 2017

 

To receive Healthy Texas Women (HTW) benefits, an individual must be age 15 through 44. An applicant is considered age 15 the month of her 15th birthday and age 44 through the month of her 45th birthday. For individuals ages 15 through 17, a parent or legal guardian must apply on the individual's behalf.

Ten days prior to a women turning 18 years old, she will receive Form H1871, HTW Client Turning 18 Years Old, to inform her she is now responsible for managing her own HTW EDG. The form also provides information about how to report a confidential address.

Married minors are not eligible for HTW; the TF0001-W will inform the minor of other services they may be eligible to receive.

Examples:

  • A woman turns age 15 on February 9. A parent filed an HTW application January 17. The woman is ineligible to receive HTW as she is not turning age 15 in the application month. A parent or legal guardian must reapply in the month of February to meet the age requirements.
  • A woman turns age 18 on July 27. A parent filed an HTW application June 5. The woman is eligible for HTW. Ten days prior to her 18th birthday (July 17), the Form H1871 is generated to inform her once she turns 18 she is responsible for managing her own HTW EDG.
  • A woman turns age 45 on May 5. She will no longer be eligible to receive HTW benefits effective June 1.

Age is self-declared. If questionable, verify the applicant's age using the Bureau of Vital Statistics (BVS). If unable to verify using BVS, attempt to contact the applicant to clear the discrepancy. Use information provided by the applicant on a previous Eligibility Determination Group, if possible.

If an HTW application is received in a month the applicant:

  • is age 14 and the application is processed in a month she becomes age 15, deny the application because of age;
  • is age 44, and the application is processed in a month she becomes age 45, if otherwise eligible, certify for the month of application and the month of her 45th birthday; or
  • becomes age 45, and the application is processed the month after her 45th birthday, if otherwise eligible, certify for the month of application only.

Use the following denial reason:

  • English — You do not meet the age requirement for the Healthy Texas Women. To receive benefits under this program, you must be 15 through 44 years of age.
  • Spanish — Usted no llena los requisitos de edad del programa Healthy Texas Women. Para recibir beneficios bajo este programa, tiene que tener entre 15 y 44 años de edad.

Married minors ages 15 through 17 are not eligible for HTW. Advisors must use the denial reason, “Denied 15-17 married minors”. The TF0001, Notice of Case Action will include the following language:

 

English:

Notice Language –You are not able to get Healthy Texas Women services because you are an emancipated minor. You might be able to get services through other programs:

Medicaid or CHIP. Apply by: (1) going to YourTexasBenefits.com or (2) calling 2-1-1 or 1-877-541-7905 for an application (after you pick a language, press 2).

Family Planning Program services. Apply by: (1) going to HealthyTexasWomen.org or (2) calling 2-1-1 or 1-877-541-7905 (after you pick a language, press 2).

 

Spanish:

Notice Language – Usted no puede recibir servicios de Healthy Texas Women porque es una menor de edad emancipada. Es posible que usted pueda recibir servicios a través de otros programas:

Medicaid o CHIP. Para hacer la solicitud: (1) vaya a YourTexasBenefits.com o (2) llame al 2-1-1 o al 1-877-541-7905 para pedir una solicitud (después de seleccionar un idioma, oprima el 2).

Servicios del Programa de Planificación Familiar. Para hacer la solicitud: (1) vaya a HealthyTexasWomen.org o (2) llame al 2-1-1 o al 1-877-541-7905 (después de seleccionar un idioma, oprima el 2).

 

When a parent or legal guardian does not apply for a minor between the ages of 15 through 17 Advisors must use the denial reason of, “Denied 15 -17 without parent or legal guardian’s signature” The TF0001, Notice of Case Action will include the following language:

 

Notice Language–You are not able to get Healthy Texas Women services. A parent or legal guardian must apply for young women ages 15 to 17 -- that was not done in this case. You might be able to get services through other programs:

Medicaid or CHIP. Apply by: (1) going to YourTexasBenefits.com or (2) calling 2-1-1 or 1-877-541-7905 for an application (after you pick a language, press 2).

Family Planning Program services. Apply by: (1) going to HealthyTexasWomen.org or (2) calling 2-1-1 or 1-877-541-7905 (after you pick a language, press 2).

 

Spanish:

Notice Language – Usted no puede recibir servicios de Healthy Texas Women. Uno de los padres o un tutor deben llenar la solicitud para jovencitas de 15 a 17 años, lo cual no se hizo en este caso. Es posible que usted pueda recibir servicios a través de otros programas:

Medicaid o CHIP. Para hacer la solicitud: (1) vaya a YourTexasBenefits.com o (2) llame al 2-1-1 o al 1-877-541-7905 para pedir una solicitud (después de seleccionar un idioma, oprima el 2).

Servicios del Programa de Planificación Familiar. Para hacer la solicitud: (1) vaya a HealthyTexasWomen.org o (2) llame al 2-1-1 o al 1-877-541-7905 (después de seleccionar un idioma, oprima el 2).

 

W—520 Verification Requirements

Revision 07-0; Effective July 1, 2007

 

Accept self-declaration as verification of age.

 

W—530 Documentation Requirements

Revision 07-0; Effective July 1, 2007

 

Document the individual's self-declaration establishing her age.