TX HHS Form H1230. Notification of Eligibility - Regular Medicaid Benefits

The TX HHS Form H1230, Notification of Eligibility - Regular Medicaid Benefits, is a crucial document that helps individuals determine their eligibility for regular Medicaid benefits. This form serves as a notification to the individual that they are eligible for Medicaid, which covers essential healthcare services such as doctor's visits, prescribed medications, hospital stays, and nursing facility care.

This form requires specific information from the individual, including their name, date of birth, and health insurance number. It also outlines the individual's responsibilities, such as showing this letter to providers and asking them to write "RETROACTIVE MEDICAID" on claim forms. Additionally, the form highlights key features like prorated payments for partial months or Medicare-covered services.

The TX HHS Form H1230 is typically used by individuals who are eligible for Medicaid benefits. Key points to note include:

• This form serves as a notification of eligibility for regular Medicaid benefits.
• It covers essential healthcare services, including doctor's visits, prescribed medications, hospital stays, and nursing facility care.
• The individual must show this letter to providers and ask them to write "RETROACTIVE MEDICAID" on claim forms.