TX HHS Form H1247. Notice of Delay in Certification

The TX HHS Form H1247, Notice of Delay in Certification, is a crucial document that helps address the issue of delayed certification for Medicaid benefits. This form is typically used by nursing facilities, hospitals, or other healthcare providers who need to notify clients of delays in their certification process.

This notice informs the client that their eligibility determination has been delayed due to various reasons such as pending medical necessity, disability, or resource information. The form outlines the specific circumstances causing the delay and provides a timeline for when the decision is expected to be made. Additionally, it emphasizes the importance of meeting certain requirements to remain eligible for Medicaid benefits.

Key features of this form include the provision of a clear reason for the delay, a specified date for completion of the eligibility determination, and information on follow-up actions. The notice also includes instructions on appealing the decision and exercising civil rights. By using this form, healthcare providers can ensure that clients are informed and prepared for any changes in their certification status.

• The form is used to notify clients of delays in Medicaid eligibility determinations.
• Delays may be caused by pending medical necessity, disability, or resource information.
• The form provides a timeline for when the decision is expected to be made.