TX HHS Form H1300. Declaration of Texas Residency

The TX H1300, "Declaration of Texas Residency," is a crucial document for Supplemental Security Income (SSI) clients who have recently moved to Texas and need Medicaid benefits. This form helps solve the problem of establishing residency in Texas and obtaining necessary Medicaid benefits.

This declaration requires key information from the client, including their name, social security number, street address, city, state, and ZIP code. The client must also certify that they have moved to Texas and provide a signature and date. Additionally, the Social Security Administration (SSA) section of the form needs completion by SSA staff, indicating the client's eligibility for SSI benefits in any state for the month they moved to Texas.

The TX H1300 should be used when an SSI client has recently relocated to Texas and is seeking Medicaid benefits. This form is essential for establishing residency and ensuring that the client receives necessary healthcare coverage. The form can be completed by the client themselves or with the assistance of HHSC authorized staff, and it must be submitted to the Health and Human Services Commission office or mailed/faxed to the designated address.