Determine Medicaid Eligibility on All Bases

Consider Medicaid eligibility on all bases prior to denying or terminating Medicaid eligibility. Determine if the person is eligible for any other Medicaid and Medicare Savings Program (MSP) benefits, including both Modified Adjusted Gross Income (MAGI) and non-MAGI types of assistance (TOAs).

If the person is eligible for another type of Medicaid or MSP program, transfer to the new TOA without requiring a new application. If more information is needed to determine eligibility for another TOA, including transfers from a non-MAGI program to a MAGI program or vice versa, pend the case and request only the information needed. Do not request a new application or verification of information available through an electronic data source.

Example : A person submits Form H1200 , Application for Assistance - Your Texas Benefits, to apply for Waiver Medicaid for a minor child. The child does not have an established disability determination and is not eligible for Waiver Medicaid. Based on the information provided, the system cascades to Children’s Medicaid (CMA). Confirm the eligibility determination is correct and certify the child for CMA without requiring a Form H1010 , Texas Works Application for Assistance - Your Texas Benefits, or Form H1205 , Texas Streamlined Application.