TP 56 and TP 32

Children and pregnant women must be determined ineligible for Medicaid or CHIP before being considered for TP 56 or TP 32 coverage for three months prior to the application month and must have:

unpaid medical bills during the prior month(s), or

received Medicaid services from the Texas Department of State Health Services during the prior months.

Advisors must determine financial eligibility for TP 56 and TP 32 for the three months prior to the application month by following the MAGI rules as explained in A-1359.1 , Determining Eligibility/Spend Down for the Application and Following Months.

Children and pregnant women may be determined eligible for TP 56 or TP 32 coverage for any month in the three months prior to the application month. Advisors must notify the applicant of the eligibility determination for each month.