Part 1.
TEXAS DEPARTMENT OF HEALTH
Chapter 14.
COUNTY INDIGENT HEALTH CARE PROGRAM
The Texas Department of Health (department) adopts amendments to §§14.1,
14.101, 14.104, 14.105, 14.201, and 14.204 concerning the County Indigent
Health Care Program (CIHCP). The sections are adopted without changes to the
proposed text as published in the April 5, 2002 issue of the
Texas Register
(27 TexReg 2697) and will not be republished.
The rules comply with Health and Safety Code, Chapter 61, which requires
that the standards and procedures used to determine eligibility must be consistent
with the Temporary Assistance for Needy Families (TANF) and Medicaid standards
and procedures.
To comply with state law, §14.1 clarifies the distribution of state
assistance funds to eligible counties to increase access to the appropriate
funding source of Medicaid. Also, minor clarifications were made which include
a word change and a spelling correction.
The amendment to §14.101 is consistent with TANF and makes minor changes
and clarifications regarding a complete application including the names of
all other household members.
The amendments to §§14.104 and 14.105 are consistent with TANF.
Specifically, the amendment to §14.104 adds wording regarding exemptions
for cash gifts and contributions and overpayments for military pay, Unemployment
Insurance Benefits (UIB), and Veterans' Association (V. A.) benefits and regarding
deductions for costs related to producing income gained from illegal activities.
The amendment to §14.105 includes wording changes regarding the exemption
of income-producing property.
In §14.201, minor editorial changes have been adopted to improve the
accuracy of required and optional services and their definitions.
The amendment to §14.204 increases access to the appropriate funding
source of Medicaid, along with minor clarifications due to each county's judge
signing a confidentiality agreement with the department in order to submit
claims for Texas Medicaid or Vendor Drug Program reimbursement and shifts
responsibility from the counties to the department for determining the Medicaid
eligibility status of all eligible residents who are also SSI/SSDI appellants.
No comments were received regarding the proposal. A public hearing on the
proposal was held at 10:00 a.m. on April 26, 2002, in the Public Hearing Room,
Texas Department of Health, 12555 Riata Vista Circle, Austin, Texas to accept
comments on the proposed rules. No comments were received.
Subchapter A. COUNTY PROGRAM ADMINISTRATION
25 TAC §14.1
The amendments are adopted under Health and Safety Code, Chapter
61 and Human Resources Code, Chapters 22 and 32. The department has rule making
authority for CIHCP under Health and Safety Code Chapter 61.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of
the Secretary of State on June 17, 2002.
TRD-200203778
Susan K. Steeg
General Counsel
Texas Department of Health
Effective date: August 1, 2002
Proposal publication date: April 5, 2002
For further information, please call: (512) 458-7236
Subchapter B. DETERMINING ELIGIBILITY