Section 353.1105 - Eligibility(a) Enrollment in the Dual Demonstration is optional for dual eligible individuals who live in the designated counties and meet the following criteria: (1) eligible for STAR+PLUS, including those eligible for STAR+PLUS home and community-based waiver services;(2) enrolled in Medicare Parts A, B, and D; and(b) The following dual eligible individuals cannot participate in the Dual Demonstration: (2) individuals not eligible for STAR+PLUS, including individuals: (A) residing in an intermediate care facility for individuals with an intellectual disability or related conditions;(B) receiving services under the following Medicaid 1915(c) waivers: (i) Home and Community-based Services (HCS);(ii) Community Living Assistance and Support Services (CLASS);(iii) Texas Home Living (TxHmL); or(iv) Deaf Blind with Multiple Disabilities (DBMD);(C) not eligible for full Medicaid benefits; or(D) in the conservatorship of the Texas Department of Family and Protective Services.1 Tex. Admin. Code § 353.1105
Adopted by Texas Register, Volume 40, Number 12, March 20, 2015, TexReg 1705, eff. 4/1/2015