(a) To determine household composition, an individual is designated as:
  (1) a taxpayer;
  (2) a tax dependent who does not meet any exceptions;
  (3) a tax dependent who meets one or more of the exceptions; or
  (4) not a taxpayer or tax dependent.
(b) If the individual is a taxpayer, the following individuals are included in the taxpayer's household composition:
  (1) the taxpayer;
  (2) the taxpayer's spouse, if the taxpayer and the spouse live together;
  (3) the taxpayer's spouse, if the taxpayer and spouse file a joint federal income tax return; and
  (4) any individual the taxpayer expects to claim as a tax dependent for the taxable year in which CHIP eligibility is requested.
(c) If the individual is a tax dependent, the following individuals are included in the tax dependent's household composition:
  (1) the tax dependent;
  (2) the taxpayer's household claiming the tax dependent; and
  (3) the tax dependent's spouse, if the tax dependent and the spouse live together.
(d) The rules in subsection (e) of this section apply to a tax dependent who:
  (1) is not the taxpayer's spouse or the taxpayer's child;
  (2) is a child who lives with both parents whose parents did not file a joint federal income tax return and was claimed as a tax dependent by one parent; or
  (3) is a child who is claimed as a tax dependent by a non-custodial parent pursuant to 42 CFR §435.603(f)(2).
(e) The household composition of an individual who is not a taxpayer or a tax dependent includes:
  (1) the individual;
  (2) the individual's spouse;
  (3) the individual's children; and
  (4) if the individual is a child, the individual's parents and siblings.
(f) A spouse is included in an individual's household composition if living together or filing a joint federal income tax return.
(g) Subsection (c) of this section applies to an individual who is both a tax dependent and taxpayer.
(h) The number of unborn children a pregnant individual is expected to deliver is included in the household composition of that pregnant individual or an applicant under §370.401 of this chapter (relating to Perinates).

Source Note: The provisions of this §370.807 adopted to be effective January 1, 2014, 38 TexReg 9477; amended to be effective June 1, 2014, 39 TexReg 3983; amended to be effective November 20, 2016, 41 TexReg 9008