TX HHS Form H1277. Notice of Opportunity to Designate Funds for Burial

The TX HHS Form H1277, Notice of Opportunity to Designate Funds for Burial, is a crucial document that helps individuals who are ineligible for Medicaid due to exceeding the resource limit. This form provides an opportunity for them to designate separate liquid resources as burial funds, which can be excluded from their countable resources up to $1,500.

The form is typically used in situations where an individual's countable resources exceed the eligibility threshold for Medicaid. In this case, they are notified that they are ineligible and given the opportunity to provide evidence that certain liquid resources have been designated as burial funds. The individual must contact the issuing agency before a specified date to provide this evidence or discuss their options.

Key features of this form include the requirement to designate separate liquid resources as burial funds, the condition that these resources be excluded from countable resources up to $1,500, and the responsibility to provide evidence or discuss options with the issuing agency. The individual must also follow up by contacting the agency before the specified date to avoid affecting their eligibility. Additionally, the form provides information on how to file a discrimination complaint if necessary.

• This form is used when an individual's countable resources exceed the Medicaid eligibility threshold.
• The form allows individuals to designate separate liquid resources as burial funds, which can be excluded from their countable resources up to $1,500.
• Individuals must contact the issuing agency before a specified date to provide evidence or discuss their options.