TX HHS Form H1017-P. Notice of Benefit Denial and Personal Responsibility Agreement (PRA) Reasons

The TX HHS Form H1017-P, Notice of Benefit Denial and Personal Responsibility Agreement (PRA) Reasons, is a crucial document that helps resolve issues related to benefit denial and noncooperation with PRA requirements. This form is typically used in situations where an individual's benefits have been denied or forfeited due to failure to comply with PRA conditions.

The form outlines the reasons for benefit denial, including noncooperation with PRA requirements such as child support, work program participation, medical checkups, immunizations, school attendance, and other responsibilities. It also specifies follow-up actions that must be taken to regain eligibility, such as reapplying for benefits or attending parenting skills training.

Key features of the form include required information about noncooperation periods, forfeited months, and specific reasons for benefit denial. The form is issued by Texas Health and Human Services (HHS) and is an essential tool for individuals to understand the reasons behind their benefit denial and take necessary steps to regain eligibility.

• Noncooperation with PRA requirements can lead to benefit denial or forfeiture
• The form outlines specific reasons for benefit denial, including noncompliance with child support, work program participation, medical checkups, immunizations, school attendance, and other responsibilities
• Follow-up actions may be required to regain eligibility, such as reapplying for benefits or attending parenting skills training