TX HHS Form H1232. Notification of Ineligibility

The TX HHS Form H1232, Notification of Ineligibility, helps individuals determine their eligibility for various government assistance programs. This form is typically used in situations where an individual's application for Medicaid or other benefits has been reviewed and deemed ineligible. The form informs the applicant that they do not qualify for certain programs, including Medicaid, Community Based Alternatives (CBA) Benefits, 1929(b)-funded Primary Home Care benefits, Qualified Medicare Beneficiary (QMB) benefits, Specified Low-income Medicare Beneficiary (SLMB) benefits, and Qualifying Individuals (QI) benefits.

The key features of this form include the notification of ineligibility for various programs, along with the reason for ineligibility. The form also provides information on how to reapply at any time and outlines the procedures for requesting a hearing if dissatisfied with the decision. Additionally, the form informs the applicant that they may be eligible for help reducing the cost of Medicare drug coverage through the Social Security Administration.

Key points to note include:

• The form is used to notify individuals of their ineligibility for various government assistance programs.
• The reason for ineligibility is provided, along with information on how to reapply or request a hearing.
• The form informs applicants about the availability of Medicare drug coverage and potential eligibility for reducing its costs.