TX HHS Form 3048. Notice of Eligibility

The TX HHS Form 3048, Notice of Eligibility, is a crucial document that confirms an individual's or household's approval for the Epilepsy program. This form serves as a notification of the approved services, outlining the duration of the benefits between [date] and [date]. The recipient must promptly notify the office of any changes in their situation, including income, residence, health insurance, family members, or address.

This notice emphasizes the importance of reporting changes to maintain eligibility. If a change occurs that renders the individual ineligible, failure to report may result in responsibility for payment of medical services received after becoming ineligible. The form also highlights the need for recipients to renew their eligibility before certification expiration dates. To facilitate this process, Form 3094, Application for Program Benefits, must be completed and submitted.

The TX HHS Form 3048 Notice of Eligibility provides essential information about the Epilepsy program's services and requirements. This document is a vital tool for individuals seeking benefits from the program. As stated in the form, recipients have the right to file complaints with the HHSC Civil Rights Office regarding the handling of their application or any action taken by the program.