TX HHS Form 1025. Request for Information Medicare Advantage Coordination

The TX HHS Form 1025, Request for Information Medicare Advantage Coordination, is a crucial document that helps individuals navigate the process of coordinating their Medicare Advantage benefits. This form is typically used by individuals who are currently receiving community services from Texas Health and Human Services (HHS) and wish to verify or modify their existing arrangements.

This form requires essential information about the individual's current situation, including their Medicaid number, social security number, address, and contact details. The form also asks for verification of specific community services received by the individual, such as in-home support services, medically dependent children program, primary home care, and more. Additionally, the form includes a section for the individual to specify any changes they wish to make to their existing service arrangements.

By completing this form, individuals can ensure that their Medicare Advantage benefits are properly coordinated with their community services. Key features of this form include the required information about the individual's current situation and the specific community services they receive. This form is an essential tool for individuals seeking to verify or modify their existing service arrangements.

• This form is used by individuals who are currently receiving community services from Texas Health and Human Services (HHS).
• The form requires essential information about the individual's current situation, including their Medicaid number, social security number, address, and contact details.
• The form asks for verification of specific community services received by the individual.