The following words and terms, when used in this subchapter,
have the following meanings, unless the context clearly indicates
(1) Applicant--A person seeking assistance under the
Medicaid for Transitioning Foster Care Youth Program who:
(A) has never received Medicaid and is not currently
receiving Medicaid; or
(B) previously received Medicaid but subsequently was
denied and reapplies for Medicaid.
(2) Authorized representative--A person or organization
whom an applicant authorizes to apply for Medicaid benefits on behalf
of the applicant.
(3) CFR--Code of Federal Regulations.
(4) Child--An adoptive, step, or natural child who
is under age 19.
(5) Eligible group--A category of people who are eligible
(6) Federal Poverty Level (FPL)--The household income
guidelines issued annually and published in the Federal Register by
the United States Department of Health and Human Services.
(7) HHSC--The Texas Health and Human Services Commission
or its designee.
(8) Household composition--The group of individuals
who are considered in determining eligibility for an applicant or
recipient for certain medical programs based on tax status, tax relationships,
living arrangements, and family relationships, referenced in 42 CFR §435.603(f)
(9) Medicaid--A state and federal cooperative program,
authorized under Title XIX of the Social Security Act (42 U.S.C. §1396
et seq.) and Texas Human Resources Code chapter 32, that pays for
certain medical and health care costs for people who qualify. Also
known as the medical assistance program.
(10) MTFCY--The Medicaid for Transitioning Foster Care
(11) Person acting responsibly--A person, other than
a provider, who may apply for Medicaid on behalf of an applicant who
is incompetent or incapacitated if the person is determined by HHSC
to be acting responsibly on behalf of the applicant.
(12) Recipient--A person receiving MTFCY services.
(13) Retroactive coverage--Payment for Medicaid-reimbursable
medical services received up to three months before the month of application.
(14) Texas Works Handbook --An
HHSC manual containing policies and procedures used to determine eligibility
for Supplemental Nutrition Assistance Program (SNAP) food benefits,
Temporary Assistance for Needy Families (TANF), the Children's Health
Insurance Program (CHIP), and Medicaid programs for children and families.
The Texas Works Handbook is found
on the Internet at www.hhsc.state.tx.us/Programs/Programs.shtml#handbooks.
(15) U.S.C.--United States Code.