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TITLE 26 - HEALTH AND HUMAN SERVICES
PART 1 - HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 277 - PRIMARY HOME CARE, COMMUNITY ATTENDANT SERVICES, AND FAMILY CARE PROGRAMS
SUBCHAPTER F - CLAIMS PAYMENT AND DOCUMENTATION
SECTION/RULE §277.81 - Monitoring Medicaid Eligibility
Chapter Review Date 10/23/2024

(a) Applicability. This section does not apply to individuals who are receiving FC Program services.(b) Verification of Medicaid eligibility. A provider must verify each month that an individual remains Medicaid eligible. A provider may verify the individual's current Medicaid eligibility by:(1) viewing the individual's HHSC Medicaid Identification form; or(2) using the current systems available to verify the individual's Medicaid eligibility.(c) Reimbursement. HHSC does not pay a provider for services delivered to an individual who is not eligible for Medicaid at the time the provider delivered the services.

Source Note: The provisions of this §277.81 adopted to be effective June 1, 2004, 29 TexReg 5113; amended to be effective June 1, 2009, 34 TexReg 2802; amended to be effective October 1, 2019, 44 TexReg 5138; transferred effective July 1, 2024, as published in the June 14, 2024, issue of the Texas Register, 49 TexReg 4436.

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