TX HHS Form H1300. Declaration of Texas Residency

The Declaration of Texas Residency Form H1300 helps individuals who have recently moved to Texas and are in need of Medicaid benefits. This form is typically used by Supplemental Security Income (SSI) clients who have relocated to the state and require assistance with healthcare costs.

This form requires the client to certify their move to Texas, providing their name, social security number, street address, city, state, and ZIP code. The Health and Human Services Commission may be able to provide Medicaid benefits for the month the client moved to Texas. Additionally, the Social Security Administration (SSA) is responsible for updating the client's SSI records from their previous state of residence to Texas.

To complete this form, clients must sign and date the declaration, indicating that they have indeed moved to Texas. The SSA will then update the client's SSI records accordingly. It is essential to note that the client's SSI benefits may be affected by this change in address. Key points to consider:

• The form is used for SSI clients who have recently relocated to Texas.
• It requires the client to certify their move and provide necessary contact information.
• The SSA will update the client's SSI records from their previous state of residence to Texas.