TX HHS Form H1200-A. Medical Assistance Only (MAO) Recertification

The TX HHS Form H1200-A, Medical Assistance Only (MAO) Recertification, is a crucial document for individuals seeking medical assistance in Texas. This form helps solve the problem of ensuring that eligible recipients continue to receive necessary benefits by requiring an annual review of their eligibility.

This recertification form is typically used by individuals who are currently receiving Medical Assistance Only (MAO) benefits and need to reaffirm their eligibility for continued support. The form requires respondents to provide information about their medical expenses, health insurance, and resources, as well as answer questions about their marital status, Medicare coverage, and voting registration.

Key features of the form include the requirement to disclose medical expenses, changes in health or hospitalization insurance, and resources owned by the individual or their spouse. The form also emphasizes the importance of complete disclosure, stating that failure to provide accurate information may result in denial or termination of benefits. It is essential for individuals to carefully review and complete this form within 12 days of receipt to ensure continued eligibility for MAO benefits.

• This form is used by individuals seeking Medical Assistance Only (MAO) benefits in Texas.
• The form requires an annual recertification to ensure continued eligibility for benefits.
• Respondents must provide information about medical expenses, health insurance, and resources.