TX HHS Form H1017-B. Transitional Medicaid

The TX HHS Form H1017-B, Transitional Medicaid, helps individuals who have lost Temporary Assistance for Needy Families (TANF) benefits due to their children's earnings. This form is used in situations where families are receiving Medicaid as a result of losing TANF benefits and need assistance with transitional Medicaid and child care services.

This form requires reporting changes to income, childcare expenses, or household composition every three months to continue receiving all 12 months of transitional Medicaid. The report will ask about household monthly earned income, child care expenses, people living in the household, and any change of address. To maintain eligibility, families must have an eligible child in their household, live in Texas, have a working person with a job, and average earnings not exceeding allowed levels for eligibility.

The form also emphasizes the importance of reporting changes to ensure continued Medicaid benefits. If families lost TANF due to a child's earnings, the caretaker must be working or demonstrate good cause for not working. Transitional Medicaid and child care services are designed to help families in need. For questions or concerns, individuals can contact their worker at the telephone number listed on Form H1017.

• This form is used by families who have lost TANF benefits due to their children's earnings.
• Transitional Medicaid and child care services are provided for up to 12 months.
• Families must report changes every three months to maintain eligibility.