6100, General Principles

Revision 23-4; Effective Sept. 22, 2023

To receive retroactive Medicaid reimbursement for Supplemental Security Income (SSI) appellants, a county must comply with the HHSC-established standards and procedures contained in this handbook.

HHSC can only file Medicaid claims for reimbursement if they are:

  • paid for CIHCP-eligible county residents;
  • received within 95 days from the "SSI add date" and within 365 days from the date of service.

In addition, all Medicaid claims processed through HHSC must meet the 365-day federal filing deadline.