CSHCN 2008 > Client Benefits and Eligibility

Client Benefits and Eligibility

2.1 Client Benefits 2-2

2.1.1 Hearing Aid Benefits Processed by the Program for Amplification for Children
of Texas (PACT) 2-3

2.1.2 Prescription Benefits Processed by the Texas Medicaid/CHIP Vendor Drug
Program (VDP) 2-3

2.1.3 Services Provided by the Medical Transportation Program (MTP) 2-3

2.1.4 Services Provided Outside of Texas 2-3

2.1.4.1 Fifty or Fewer Miles From the Texas State Border 2-3

2.1.4.2 More Than Fifty Miles From the Texas State Border 2-3

2.1.5 CSHCN Services Program Limitations and Exclusions 2-4

2.2 Client Eligibility 2-7

2.2.1 Financial Eligibility Criteria 2-7

2.2.2 CSHCN Services Program PAF/Medical Eligibility Criteria 2-7

2.3 CSHCN Services Program Eligibility Form 2-8

2.3.1 CSHCN Services Program Eligibility Form Sample 2-10

2.4 Waiting List Information 2-11

2.5 Clients Eligible for CHIP and CSHCN Services Program Benefits 2-11

2.6 Clients Eligible for Medicaid and CSHCN Services Program Benefits 2-12

2.6.1 Medically Needy Program (MNP) 2-12

2.6.2 MNP Spend-Down Processing 2-13

2.6.2.1 CSHCN Services Program and MNP Spend Down Processing 2-13

2.6.2.2 Provider Assistance to Clients with Spend Down 2-13

2.6.3 Claims Filing Involving a Medicaid Spend Down 2-14

2.7 TMHP-CSHCN Contact Center 2-14