Medical Programs
The federal Marketplace sends the information from a person’s application to HHSC through an electronic interface when:
the Marketplace assessment shows the person may be eligible for Medicaid; or
the person requests a full eligibility determination for Medicaid.
The electronic transfer of information from the application is referred to as an account transfer . The account transfer includes information provided by the person on the Marketplace application and information verified by the Marketplace.
The account transfer process generates a PDF application with the information the Marketplace provides. Verifications completed by the Marketplace are included in the Verifications section of the PDF. Like an application from YourTexasBenefits.com , enter applicant information into the appropriate logical unit of work (LUW) following the policies for documentation and verification requirements. This includes any required documentation about blanks or discrepancies on the PDF application, and steps taken to resolve questionable information.