TX HHS Form H1274. Medicaid Eligibility Resource Assessment Notification

The TX HHS Form H1274, Medicaid Eligibility Resource Assessment Notification, is a crucial document used to determine an individual's eligibility for Medicaid benefits. This form helps solve the problem of assessing an individual's resources, including financial assets, property, and other countable resources, to determine their eligibility for Medicaid coverage.

This notification requires the following information: address of medical care facility or CBA client, name of bank(s), account types (checking, savings, CD/Money Market, Stocks/Bond), and descriptions of other resources such as mortgages, life insurance, oil/gas/mineral rights, and spouse share. The form also includes a section for describing any other countable resources.

This form should be used when an individual is applying for Medicaid benefits or when their eligibility needs to be reassessed due to changes in their financial situation. It is essential to complete this form accurately and thoroughly to ensure that the individual's Medicaid eligibility is determined correctly.