Texas Register, Volume 38, Number 31, Pages 4821-4956, August 2, 2013 Page: 4,890
4821-4956 p. ; 28 cm.View a full description of this periodical.
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380.201. Eligibility.
(a) The following prior authorized Medical Transportation
Program (MTP) recipients are eligible to receive reasonable trans-
portation to health care services if medical necessity exists, no other
means of transportation are available, the mode of transportation is the
most cost-effective mode available that does not endanger the recipi-
ent's health and the facility is reasonably close to the prior authorized
health care service that meets the recipient's health care needs:
(1) current Medicaid recipients authorized and identified
by the Health and Human Services Commission (HHSC) as eligible
for Medicaid services under a specific category;
(2) Children with Special Health Care Needs (CSHCN) re-
cipients; and
(3) Transportation for Indigent Cancer Patients (TICP)
Program recipients.
(b) To be eligible for participation in the TICP Program, the
individual:
(1) must reside in Webb, Zapata, Starr, Jim Hogg, Hidalgo,
Cameron, Willacy, or Nueces County and provide a copy of a federal or
state ID (driver's license or identification card) and one of the following
as proof of residency:
(A) a copy of a utility bill under the applicant's name;
or
(B) if residing with a family member, a written verifi-
cation from that family member stating that the applicant resides in the
household and proof that household is in an eligible county;
(2) must not be eligible for Medicaid;
(3) must not be eligible for CSHCN-CIDC;
(4) must be medically indigent (at or below 100% of fed-
eral poverty guidelines). Before program services are provided, the
monthly household gross income shall be verified by:
(A) financial information obtained through HHSC;
(B) check stub or other written verification for each per-
son in the household who is employed. This form must contain the
name, address of employer, income and dates covered for each pay pe-
riod; or
(C) award letter or other written verification of un-
earned income (such as Social Security, Worker's Compensation,
Unemployment or Veteran's Administration benefits);
(5) is permitted the following allowable deductions from
the total monthly household gross income:
(A) $120 standard deduction per person in household
who is employed (the standard deduction per person will be the rate set
by HHSC); and
(B) dependent care:
(i) up to $200 per child under 2 years of age; or
(ii) up to $175 per child 2 years of age and older;
(6) is not permitted to take deductions on unearned income;
(7) if over the age of 18 and residing with a family member,
the family member's household income is not considered. The appli-
cant's gross income, less standard deductions, is used to determine the
applicant's eligibility;
(8) has zero income and shall therefore submit written veri-
fication from two family members or individuals who can attest that thehousehold receives no monthly earned or unearned income. Unearned
income refers to monetary assistance provided by family, friends, char-
itable organizations, and such given to the recipient for household ex-
penses;
(9) must provide initial confirmation of cancer or cancer-
related diagnosis by a licensed medical physician. The following re-
strictions apply:
(A) the applicant is eligible for up to 4 diagnostic visits
to a licensed medical physician to determine cancer or cancer-related
diagnosis ifHHSC is provided written verification that diagnostic visits
are to rule out the possibility of cancer or cancer-related illness; and
(B) confirmation of cancer or cancer-related diagnosis
must be provided on or following the last diagnostic visit for MTP
services to continue; and
(10) must be accepted for evaluation or treatment by a med-
ical institution in Texas capable of providing quality cancer services.
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 July 17, 2013.
TRD-201302936
Steve Aragon
Chief Counsel
Texas Health and Human Services Commission
Effective date: August 6, 2013
Proposal publication date: April 26, 2013
For further information, please call: (512) 424-6900
SUBCHAPTER C. CLIENT RIGHTS
1 TAC 380.301
Legal Authority
The amendment is adopted under Texas Government Code
531.033, which provides the Executive Commissioner of HHSC
with broad rulemaking authority; and Texas Human Resources
Code 32.021 and Texas Government Code 531.021(a),
which provide HHSC with the authority to administer the federal
medical assistance (Medicaid) program in Texas; and Texas
Government Code 531.02414, which requires HHSC to adopt
rules to ensure the safe and efficient provision of nonemergency
transportation services under the MTP by regional contracted
brokers and subcontractors of regional contracted brokers.
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 July 17, 2013.
TRD-201302937
Steve Aragon
Chief Counsel
Texas Health and Human Services Commission
Effective date: August 6, 2013
Proposal publication date: April 26, 2013
For further information, please call: (512) 424-6900
4 4 438 TexReg 4890 August 2, 2013 Texas Register
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Texas. Secretary of State. Texas Register, Volume 38, Number 31, Pages 4821-4956, August 2, 2013, periodical, August 2, 2013; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth326805/m1/70/: accessed May 5, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.