TX HHS Form H1122-A. Medicaid Information - Client Rights/Responsibilities

The TX HHS Form H1122-A, Medicaid Information - Client Rights/Responsibilities, helps individuals understand their rights and responsibilities when receiving Medicaid benefits. This form provides essential information about the Texas Medicaid program, including the types of services covered and the process for reporting changes in one's situation.

This form is typically used by individuals who are eligible for Medicaid and need to understand their coverage options. Key features include a Medicaid number, which will be mailed to the individual each month, as well as information about appealing decisions and requesting hearings. The form also emphasizes the importance of reporting changes in one's situation within 10 days of learning of the change.

Some key points to note are:

• The individual is responsible for reporting any changes in their situation that may affect their benefits.
• If an individual believes a decision is not correct, they can request a hearing to appeal the decision.
• The form includes information about spend down and how to submit medical bills.