TX HHS Form H1275. Request for Expanded Protected Resource Assessment

The TX HHS Form H1275, Request for Expanded Protected Resource Assessment, is a crucial document that helps solve the problem of limited income for community spouses. In situations where the Spousal Protected Resources Assessment (SPRA) provided by an eligibility specialist does not meet the Minimum Monthly Maintenance Needs Allowance (MMMNA), this form enables the client to request an expanded assessment.

This form requires the client/responsible party to review and agree with the accuracy of their SPRA, which outlines all available non-resource produced monthly income after allowable deductions. The client must also certify that the listed SPRA is the maximum allowable amount as provided under Title 42 U.S.C. §1396r-5. By signing this document, the client does not waive any rights to request a fair hearing on any issue related to their Medicaid eligibility application.

Key features of this form include:

• The need for an expanded SPRA to increase community spouse's monthly income up to the MMMNA.
• The requirement to review and agree with the accuracy of the SPRA.
• The certification that the listed SPRA is the maximum allowable amount.