TX HHS Form H1225. Restitution

The TX HHS Form H1225, Restitution, is a crucial document for resolving overpayment issues in the healthcare industry. This form helps to identify and rectify situations where a nursing home or vendor has received excessive payment from the state due to changes in circumstances.

This form requires specific information, including the individual's name and address, as well as the office address and telephone number of the Health and Human Services Commission. The form also outlines the responsibility for making restitution by cashier's check or money order, which should be mailed in the enclosed postage-paid envelope. Personal checks cannot be accepted.

If you have any questions or concerns about completing this form, please feel free to call the HSC Office Telephone No. Additionally, if you believe you have been discriminated against due to certain factors, you may lodge a complaint with the management staff of this agency or write immediately to: Civil Rights Department Health and Human Services Commission P.O. Box 149030 Austin, Texas 78714-9030.

• This form is used in situations where there has been an overpayment to a nursing home or vendor due to changes in circumstances.
• The form requires specific information, including the individual's name and address, as well as the office address and telephone number of the Health and Human Services Commission.
• Restitution must be made by cashier's check or money order, which should be mailed in the enclosed postage-paid envelope.