TX HHS Form H1267. Short-term Medicaid Notice – Not Approved

The TX HHS Form H1267, Short-term Medicaid Notice – Not Approved, is a notification document used to inform individuals that their application for short-term Medicaid has been denied. This form helps solve the problem of providing clear reasons why an applicant's request for short-term Medicaid was not approved.

This notice requires the provision of specific information, including the applicant's name and address. The text highlights several key scenarios where this form would be used, such as when an individual is already covered by Medicaid or CHIP, has received short-term Medicaid within the past two years, or does not meet certain eligibility criteria.

The notice also provides options for individuals who are denied short-term Medicaid to apply for regular Medicaid and offers assistance with the application process. The form can be accessed online at YourTexasBenefits.com, by calling toll-free 2-1-1 or 1-877-541-7905, or by visiting a Texas Health and Human Services Commission benefits office.