TX HHS Form H5018-MBIC. Denial Notice (Medicaid Buy-In for Children)

The TX HHS Form H5018-MBIC, Denial Notice, is a crucial document for individuals who have applied for Medicaid Buy-In for Children (MBIC) benefits but have been denied. This form serves as formal notice to the applicant of the denial, providing essential information about the reason for the denial and any next steps they can take.

The form requires specific information from the applicant, including their case number and details about their MBIC application. It also outlines the responsibilities of both the applicant and Texas Health and Human Services (HHS) in the event of a denial. The notice provides instructions on how to appeal the decision or seek further assistance if needed.

Key features of this form include the provision of reasons for denial, information about the appeals process, and contact details for HHSC's Office of Civil Rights. If you are denied MBIC benefits, it is essential to carefully review this notice and take any necessary steps to address your concerns. For assistance or guidance, please call 2-1-1 or 1-877-541-7905.

• The form is used for individuals who have applied for Medicaid Buy-In for Children (MBIC) benefits but have been denied.
• The form provides essential information about the reason for denial and next steps to take.
• It outlines the responsibilities of both the applicant and Texas Health and Human Services (HHS) in the event of a denial.