TX HHS Form 3031. Children with Special Health Care Needs (CSHCN) Program Application

The TX HHS Form 3031, "Children with Special Health Care Needs (CSHCN) Program Application", is a crucial document for families seeking assistance for children with special health care needs. This form helps parents or guardians apply for the CSHCN program, which provides essential services and support to help these children receive necessary medical care.

The application consists of four sections: Applicant Information, Contact Information, Language Preferences, and Income Information. Key features include required information such as the applicant's name, social security number (if available), sex, citizenship status, and proof of birth date or Texas residency. The form also asks for contact details, language preferences, and sources of income.

This form should be used by families seeking assistance for children with special health care needs who are residents of Texas. It is essential to complete the application accurately and thoroughly, as it will help determine eligibility for the CSHCN program. The form can be obtained from the regional office or online resources provided by Texas Health and Human Services (HHS).