TX HHS Form H1265. Presumptive Eligibility (PE) Worksheet

The Presumptive Eligibility (PE) Worksheet, Form H1265, is a crucial tool for determining Medicaid eligibility in Texas. This form helps solve the problem of quickly identifying individuals who may be eligible for PE Medicaid benefits. Typically used by applicants seeking immediate financial assistance, this worksheet requires information about the applicant's household, including non-financial details and individual characteristics.

The Form H1265 asks a series of questions to gather essential information about each member of the household applying for PE. This includes identifying whether any individuals have received PE within the last two years or are pregnant and have received PE for this pregnancy. The form also inquires about specific criteria, such as children under 19, pregnant women, former foster care children, and caretaker relatives. These questions help determine eligibility for Medicaid benefits.

The Presumptive Eligibility (PE) Worksheet is an essential tool for Texas Health and Human Services (HHS) to streamline the process of determining Medicaid eligibility. By completing this form, applicants can quickly identify their potential eligibility for PE Medicaid benefits. Key points to note include:

• Applicants must provide non-financial household information.
• The form asks about individual characteristics and specific criteria for Medicaid eligibility.
• The worksheet helps determine whether individuals are eligible for PE Medicaid benefits.