TX HHS Form H1146-M. Medicaid Report (Manual)

The TX HHS Form H1146-M, Medicaid Report (Manual), is a crucial document for individuals and families receiving transitional Medicaid coverage. This report helps ensure that recipients continue to receive benefits by reporting changes in income or childcare expenses. The form is typically completed by the household's caretaker and submitted to the local Health and Human Services Commission office.

The report requires specific information, including gross earnings and child care costs for each month listed. It also asks about any changes to the household, such as new additions or departures. Additionally, the form emphasizes the importance of reporting any loss of employment, childcare, or household changes within ten days of receipt. Failure to report these changes may result in termination of Medicaid coverage.

To complete the report, follow these key steps:

• Enter gross earnings and child care costs for each month listed;
• If you had no earnings for a particular month, explain why on the form;
• Add up child care amounts paid during each month;
• Report any changes to your household within ten days of receipt.

By completing this report, individuals and families can ensure continued Medicaid coverage and access to essential services.