TX HHS Form 3060. CSHCN Eligibility Exemption Request

The TX HHS Form 3060, CSHCN Eligibility Exemption Request, is a crucial document for parents or guardians of Children with Special Health Care Needs (CSHCN) who do not need to apply to the TexCare Partnership. This form helps solve the problem of determining whether a child's existing health insurance coverage qualifies them for exemption from applying to the partnership.

This form requires client information, including the child's name and CSHCN number, as well as the reason(s) why they do not need to apply to the TexCare Partnership. Common scenarios of use include having Medicaid coverage, being already covered by CHIP and enrolled in a health plan, receiving a CHIP denial letter, or being 19 years old or older. The form also mentions conditions where the child is not a U.S. citizen or legal resident.

Key features of this form include the required information sections, such as client details and reasons for exemption. The form also highlights important sections, like the acknowledgement statement, which confirms that the submitted information is true and correct. Parents or guardians who need assistance completing the form can call CSHCN at 1-800-222-3986. By submitting this form, parents or guardians acknowledge that they understand the legal implications of providing false information.