DADS has published the latest information letter regarding Temporary Extension of Medicaid for Certain Intellectual Developmental Disability Waiver Program Recipients Who Lose Supplemental Security Income and Medicaid. With a denial of SSI, Medicaid is automatically ended. This letter is for informational purposes regarding a process change affecting certain individuals receiving waiver services and does not affect the providers’ or local intellectual developmental disability
authorities’ current business practices.
Effective September 23, 2017:
• An individual who is 17 years of age or younger who loses SSI benefits and Medicaid2 due to an increase in income may continue to be Medicaid
eligible for 30 days after the date of denial of Medicaid, if the individual is enrolled in the:
o Home and Community-based Services Program;
o Community Living Assistance and Support Services Program; or
o Deaf-Blind with Multiple Disabilities Program.
• An individual who is 18 years of age or older who loses SSI and Medicaid
due to an increase in Disabled Adult Children’s or Widow/Widower’s
benefits may continue to be Medicaid eligible for 60 days after the date of
denial of Medicaid, if the individual is enrolled in the:
o Home and Community-based Services Program;
o Community Living Assistance and Support Services Program;
o Deaf Blind with Multiple Disabilities Program; or
o Texas Home Living Program.
With implementation of this policy change, individuals who lose Medicaid as described above will receive the following documents at their mailing
address currently on file with the Health and Human Services Commission:
• H1296, Notice of SSI Medicaid Ending;
• TF0001, Notice of Case Action; and
• Form H1200, Application for Assistance – Your Texas Benefits.
