TX HHS Form H1266. Short-term Medicaid Notice Approved

The TX HHS Form H1266, Short-term Medicaid Notice: Approved, helps individuals navigate the process of receiving short-term Medicaid benefits. This form is typically used in situations where an individual needs temporary assistance with healthcare costs while their application for ongoing Medicaid coverage is being processed.

This notice outlines the terms and conditions of short-term Medicaid coverage, including the types of services that will be covered during this period. Key features include the requirement to provide certain personal information, such as name, birth date, and address, as well as the responsibility to follow up with the Texas Health and Human Services Commission (HHSC) to determine eligibility for ongoing Medicaid benefits.

Individuals who receive short-term Medicaid coverage can use this form to access healthcare services while their application is being processed. The form also provides instructions on how to find out if they can continue receiving Medicaid benefits, including the option to fill out an online application or contact HHSC directly. Key points and requirements are highlighted below:

• Short-term Medicaid coverage will end on the last day of the month after application is submitted.
• Pregnant individuals may receive short-term Medicaid coverage for prenatal services only.
• Individuals must apply for ongoing Medicaid benefits to continue receiving coverage.