TX HHS Form H1274. Medicaid Eligibility Resource Assessment Notification

The TX HHS Form H1274, Medicaid Eligibility Resource Assessment Notification, is a crucial document that helps determine an individual's eligibility for Medicaid benefits. This form is typically filled out by medical care facilities or Community-Based Alternative (CBA) clients to assess the individual's resources and ownership interest.

Key features of this form include the requirement to list various types of resources, such as bank accounts, stocks, mortgages, and real property, along with their corresponding values. The form also asks for information on life insurance policies and oil/gas/mineral rights. Additionally, it requests a description of any other resources that may be applicable.

The TX HHS Form H1274 is an essential tool in the Medicaid eligibility process, providing a comprehensive assessment of an individual's resources and ownership interest. By accurately completing this form, medical care facilities or CBA clients can help ensure that individuals receive the necessary support and benefits to meet their healthcare needs.