TX HHS Form H1096. Notification Letter

The TX HHS Form H1096, Notification Letter, helps resolve situations where an Authorized Representative of a facility has accessed Supplemental Nutrition Assistance Program (SNAP) benefits they were not entitled to. This form is used in cases where the Texas Health and Human Services Commission (HHSC) determines that improper access occurred.

The notification letter provides specific details about the benefits accessed, including the client name, date accessed, reason for access, benefit code, and amount. The letter also outlines the total amount of benefits owed to HHSC and instructions for repayment. The facility's Authorized Representative is responsible for submitting payment within 30 days from the date listed on the form.

If you have questions regarding this notification letter, please contact the advisor at the address or telephone number provided. Key points to note include:

• The total amount of benefits owed must be repaid within 30 days.
• Make checks payable and mail payments to the Texas Health and Human Services Commission Fiscal Division (E-411) P.O. Box 149055 Austin, TX 78714-9055.