Chapter 3: Eligibility

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Texas Health and Human Services Commission February 2017 31Chapter 3: Eligibility33Part II. ClientsChapter 3: EligibilityEligibility BasicsMedicaid-eligible individuals include those eligible for coverage of acute care services, behavioral health care services, prescription drugs, and long-term services and supports (LTSS). Medicaid-eligible individuals also include those eligible for time-limited or specific services. The four primary categories of Medicaid-eligible individuals who may receive full benefits are: Children, pregnant women, and parent and caretaker relatives; SSI recipients; People age 65 and older and those with disabilities; and Former foster care This Chapter : Eligibility BasicsEligibility Determination ProcessFinancial EligibilityNon-Financial Eligi

Chapter 3 Eligibility 3 3 well as trained and certified staff and volunteers to help clients apply and manage their cases online. Financial Eligibility For most individuals, federal law requires states to determine financial eligibility for Medicaid and CHIP based on the Modified Adjusted Gross Income (MAGI) methodology and applies a five ...

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