Revision 21-3; Effective July 1, 2021

 

W—2010 Applications

Revision 21-3; Effective July 1, 2021

 

Make an eligibility determination by the 45th day from the file date.

Follow policy for medical programs when reopening an application denied for failing to furnish information or verification.

Follow policy for medical programs when reopening a renewal application denied for failing to furnish information or verification.

Related Policy  

Reuse of an Application Form After Denial, B-111
Denied for Failure to Provide Information/Verification, B-122.3.2

 

W—2020 Deadlines

Revision 21-3; Effective July 1, 2021

 

Provide Form TF0001, Notice of Case Action, the same day eligibility is determined for an application but no later than 45 days from the file date.

 

W—2030 Missed Appointments

Revision 07-0; Effective July 1, 2007

 

No appointment is required to process an application or renewal unless requested by the applicant/individual. If requested, provide the applicant/individual a telephone interview. If she fails to keep the appointment, do not deny the application/renewal but continue to process.

 

W—2040 Pending Information on Applications

Revision 15-4; Effective October 1, 2015

 

Advisors must request documents that are readily available to the household to be sufficient verification. Each handbook section lists potential verification sources. C-900,Verification and Documentation, gives information on verification procedures.

In determining eligibility, advisors must consider any information the individual reports between the application date and the decision date. Include any information the individual reports during the application decision process.

 

W—2050 Notice of Renewal/Expiration

Revision 21-3; Effective July 1, 2021

 

The Texas Integrated Eligibility Redesign System (TIERS) generates HTW renewal correspondence automatically, following the procedures for other medical programs. Determine if a woman is eligible to continue to receive HTW benefits using the same eligibility requirements for an application.

If the woman states on her application that she has creditable health insurance that covers family planning services and that filing a claim will not cause her physical, emotional or other harm, deny the renewal using the third-party resource denial reason language.

Related Policy

Receipt of Application, A-121
Notice of Redetermination/Certification Expiration, B-121
Third-Party Resource, W-914

 

W—2060 Processing Renewals

Revision 07-0; Effective July 1, 2007

 

 

 

W—2061 How to Process a Renewal

Revision 21-3; Effective July 1, 2021

 

There is not an interview requirement for HTW renewals. Follow medical program administrative renewal policy to process HTW renewals.  

Related Policy

Medical Program Administrative Renewals, B-122.4

 

W—2062 Summary of Due Dates for Form H1020, Request for Information or Action

Revision 07-0; Effective July 1, 2007

 

Case Action Due Date Final Due Date
Application 10 days
  • 30 days, or
  • 10th day if 10 days end after 30th day
Untimely renewal 10 days
  • 30 days, or
  • 10th day if 10 days end after 30th day
Timely renewal 10 days
  • last workday of last benefit month, or
  • 10th day if 10 days end after last benefit month
Incomplete review 10 days
  • 10 days

Note: Staff have until the 45th day of the file date to determine eligibility.

 

W—2070 Renewal Time Frames

Revision 21-3; Effective July 1, 2021

 

Use the medical program administrative renewal timeliness guidelines.

Related Policy

Medical Program Administrative Renewals, B-122.4

 

W—2080 Pending Information

Revision 21-3; Effective July 1, 2021

 

If the applicant cannot furnish all required verification during the interview or with the application, allow the household at least 10 days to provide verification. The due date must be a workday. Determine what sources of verification are readily available to the household and request those first. If the applicant has an active or inactive EDG, check to see if any verification previously provided on another EDG can be used to determine eligibility for HTW.

HTW uses reasonable compatibility to verify household income.

Note: Do not use verification that is more than 60 days older than the HTW file date.

Use verification accepted for Temporary Assistance for Needy Families (TANF), Medical Programs or the Supplemental Nutrition Assistance Program (SNAP) for HTW. Exception: Verification of U.S. citizenship for applicants must be from a Medicaid acceptable source.

To ensure their confidentiality, women have an opportunity to provide a different mailing address and contact phone number on their application and renewal form. Since HTW provides family planning services, it is imperative to respect the privacy of HTW applicants and recipients.

Related Policy

Verification Requirements, A-1370
Confidentiality, W-2400