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

The Short-term Medicaid Notice Form H1267 is a crucial document that helps individuals determine their eligibility for short-term Medicaid benefits in Texas. This form is typically used in situations where an individual's application for short-term Medicaid has been denied, providing them with clear reasons why they are not eligible.

This notice outlines the specific conditions under which an individual may not be eligible for short-term Medicaid, including being already covered by Medicaid or CHIP, having received short-term Medicaid benefits within the past two calendar years, or not meeting certain residency requirements. The form also highlights alternative options for individuals who do not meet these criteria, such as applying for regular Medicaid or seeking assistance from Texas Health and Human Services Commission benefits offices.

Key features of this form include the provision of clear reasons why an individual's application has been denied, as well as information on how to proceed with their application. The form also provides contact details for individuals who need help applying for Medicaid, including a toll-free hotline and online resources. By understanding the requirements and procedures outlined in this notice, individuals can take the necessary steps to apply for or appeal their Medicaid benefits.

• Not eligible for short-term Medicaid if already covered by Medicaid or CHIP
• Must not have received short-term Medicaid benefits within the past two calendar years
• Must meet certain residency requirements, including living in Texas and planning to stay
• Alternative options include applying for regular Medicaid or seeking assistance from Texas Health and Human Services Commission benefits offices