B-520, Medicaid Suspension
Revision 20-4; Effective October 1, 2020
Suspend Medicaid in the following circumstances:
People Certified for TA 82, TP 40, TP 44 and TP 70 Confined in a Texas County Jail
Suspend Medicaid if the person is confined in a Texas county jail for more than 30 days and the county jail chooses to report the person’s confinement to HHSC. Follow policy in B-542, Persons Confined in a Texas County Jail, to suspend the person’s Medicaid effective the day after the confinement is reported by the county jail.
If notified of the person’s confinement from a source other than a Texas county jail, terminate the person’s Medicaid.
Children Certified for TP 44 Confined in a Secured Juvenile Facility
Suspend Medicaid when a child is placed in a secured juvenile facility. The Texas Juvenile Justice Department (TJJD) or a Juvenile Probation Department (JPD) makes the report to HHSC within 30 calendar days of a child’s placement. Follow policy in B-543, Child Placed in a Secured Juvenile Facility, to suspend the child's TP 44 eligibility effective the day after TJJD or a JPD notifies HHSC that the child is placed in a juvenile facility.
If notified of the child's placement from a source other than TJJD or a JPD, terminate the child's TP 44.
The following are scenarios for a child certified on Medicaid who is reported as placed in a juvenile facility.
| Child is certified for… | and HHSC receives notification of the child's placement in a juvenile facility from... | then the child's… |
|---|---|---|
| TP 44 from Dec. 1, 2019 – Nov. 30, 2020 | TJJD on Feb. 7, 2020, | TP 44 eligibility is suspended effective Feb. 8, 2020. |
| TP 44 from Oct. 1, 2019 – Sept. 30, 2020 | the child's mother on Dec. 1, 2019, | TP 44 eligibility is denied effective Dec. 31, 2019. |
Related Policy
Termination of Medical Coverage for People Confined in a Public Institution, B-510
Persons Confined in a Texas County Jail, B-542
Child Placed in a Secured Juvenile Facility, B-543
General Policy, E-1010
General Policy, M-1010