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TX HHS Form H1278. Request for Patient Trust Fund Information
TX HHS Form H1277. Notice of Opportunity to Designate Funds for Burial
TX HHS Form H1276. Burial Fund Designation Worksheet
TX HHS Form H1275. Request for Expanded Protected Resource Assessment
TX HHS Form H1274. Medicaid Eligibility Resource Assessment Notification
TX HHS Form H1273. Request for Assessment Information
TX HHS Form H1272-A. Spousal Impoverishment Assessment Letter
TX HHS Form H1272. Declaration of Resources
TX HHS Form H1270. Data Integrity SAVERR Notification
TX HHS Form H1267. Short-term Medicaid Notice Not Approved
TX HHS Form H1266. Short-term Medicaid Notice Approved
TX HHS Form H1265. Presumptive Eligibility (PE) Worksheet
TX HHS Form H1263-B. Certification of No Medical Contraindication - Dental
TX HHS Form H1263-A. Certification of Medical Necessity - Durable Medical Equipment or Other IME
TX HHS Form H1260. Parental Status/Inheritances
TX HHS Form H1259. Correction of Applied Income
TX HHS Form H1256. Financial Management
TX HHS Form H1253. Verification of Health Insurance Policy
TX HHS Form H1252. Designation of Burial Funds
TX HHS Form H1247. Notice of Delay in Certification
TX HHS Form H1246. Medicaid Eligibility Interview Guide
TX HHS Form H1243-FTI. Verification of Civil Services Benefits - FTI
TX HHS Form H1243. Verification of Civil Services Benefits
TX HHS Form H1242-FTI. Verification of Mineral Rights - FTI
TX HHS Form H1242. Verification of Mineral Rights
TX HHS Form H1240-FTI. Request for Information from Bureau of Veterans Affairs and Client's Authorization - FTI
TX HHS Form H1240. Request for Information from Bureau of Veterans Affairs and Client's Authorization
TX HHS Form H1239-FTI. Request for Verification of Bank Accounts - FTI
TX HHS Form H1238-A. Verification of Pre-Need Information
TX HHS Form H1235. Notice of Appointment or Delay
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