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N-1000, Medicaid Buy-In for Children
... (a) This chapter governs the eligibility requirements for Medicaid Buy-In for Children (MBIC), which is authorized ... for another federal benefit. (3) CFR — Code of Federal Regulations. (4) Child — An unmarried person under 19 years ... help while in the program. All regular Medicaid for the Elderly and People with Disabilities (MEPD) policies apply to ...

C-2000, Confidential Nature of the Case Record
... may review all information in the case record and in HHSC handbooks that contributed to the decision about his ... process available on the Social Services Intranet on the Medicaid Eligibility for the Elderly and People with Disabilities home page at ...

N-8000, Medical Effective Date, Prior Months' Eligibility and Case Actions
... September 1, 2011   The medical effective date (MED) for Medicaid Buy-In for Children (MBIC) cannot be before Jan. 1, ... Your family is making less money (income). The number of people in your family changed. You have health insurance ... Redeterminations for MBIC follow regular Medicaid for the Elderly and People with Disabilities (MEPD) policy for ...

Section 7000, Applicant or Member Complaints, Internal MCO Appeals and State Fair Hearings
... with the requirements in applicable federal and state laws and regulations, including Title 42 Code of Federal Regulations ... and Human Services Commission (HHSC) denies a member’s Medicaid or program eligibility, the member does not exhaust ...

Section 1000, State of Texas Access Reform Plus (STAR+PLUS) Managed Care
... Effective November 5, 2019   Title 42 Code of Federal Regulations (CFR) §441.302(c) and Title 1 Texas ... are subject to modification based on federal and state laws and regulations and program policy updates.   1330 ... all information in the case record and in HHSC or MCO handbooks that contributed to the decision about eligibility. ...

Section 7000, Complaint, Appeal and Fair Hearing Procedures
... with the requirements in applicable federal and state laws and regulations, including 42 Code of Federal Regulations (CFR) ... of 1 Texas Administrative Code Chapter 357, relating to Medicaid MCOs. The MCO's complaint and appeal system must ...

Section 4000, Complaints, Internal MCO Appeals and State Fair Hearings
... with the requirements in applicable federal and state laws and regulations, including Code of Federal Regulations 42, ... of Texas Administrative Code 1, Chapter 357, relating to Medicaid managed care organizations. The MCO's complaint and ...

Section 1000, HHSC Provider Investigation Program Overview
... Administrative Code, Title 26, Chapter 711 . The rules or laws cited in this handbook are provided for reference ... community-based services; a person who contracts with a Medicaid managed care organization to provide behavioral ... services not in compliance with federal and state laws and regulations, including: 25 TAC Chapter 415, Subchapter F ...

Section 1000, STAR Kids Overview and Eligibility
... of Texas Access Reform (STAR) Kids program. STAR Kids is a Medicaid managed care program for children with disabilities ... meet eligibility requirements stated in 42 Code of Federal Regulations (CFR) §441.510(d) . This CFR rule mandates that ... all information in the case record and in HHSC or MCO handbooks that contributed to the decision about eligibility. ...

Section 3000, STAR+PLUS HCBS Program Eligibility and Services
... Revision 18-2; Effective September 3, 2018       3110 Medicaid, Medicare and Dual-Eligibles Revision 18-2; ... Portability and Accountability Act (HIPAA) privacy regulations.   3113 Transmittal of Form H1200 or Form ... for Assistance – Aged and Disabled, to Medicaid for the Elderly and People with Disabilities (MEPD), Program Support ...

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