B-520, Medicaid Suspension

Revision 24-2; Effective April 1, 2024

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. The person’s Medicaid suspension is 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.  

If notified of a child’s confinement from a source other than a Texas county jail, sustain the child’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. The child's TP 44 suspension is effective the day after TJJD or a JPD notifies HHSC that the child is placed in a juvenile facility.

If notified of the person’s confinement from a source other than a Texas county jail, terminate the person’s Medicaid.  

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, 2014 – Nov. 30, 2025TJJD on Feb. 7, 2024,TP 44 eligibility is suspended effective Feb. 8, 2024.
TP44 from Oct. 1, 2024 – Sept. 30, 2025the child’s mother on Dec. 1, 2024.TP44 is sustained. 

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
Three Months Prior Coverage, M-1010