Sec. 43.008. ELIGIBILITY FOR SERVICES. (a) The department shall determine an individual's eligibility for treatment services according to this chapter and department rules.
(b) An individual is not eligible to receive treatment services provided under this chapter unless:
(1) the individual is a resident of this state;
(2) the department has determined that neither the individual nor a person with a legal obligation to support the individual is financially able to pay for all or part of the treatment services provided by this chapter;
(3) the individual complies with any other requirements stated in the department rules; and
(4) at least one licensed dentist or licensed physician has certified to the department that the dentist or physician has examined the individual and has found that:
(A) the individual meets the department's dental criteria; and
(B) the dentist or physician has reason to expect that the treatment services provided by or through the department will prevent or reduce the probability of the individual's experiencing pain, infection, or disease.
(c) Except as permitted by department rules, the department may not provide treatment services before an individual's eligibility date assigned by the department or authorize payment for treatment services furnished by a provider before that date.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 3.0164, eff. April 2, 2015.
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