The TX HHS Form H1273, Request for Assessment Information, helps individuals or organizations seeking an assessment of their resources to provide necessary documentation. This form is typically used in situations where financial information needs to be verified or evaluated, such as during the application process for government programs or services.
The Spousal Impoverishment Assessment Letter (Form H1272-A) helps determine the portion of your combined countable resources that will be protected for your spouse at home. This assessment is used in situations where you enter a medical care facility and your spouse remains at home, and you need to apply for Medicaid.
The TX HHS Form H1272, Declaration of Resources, is a crucial document that helps individuals and their spouses declare their resources when seeking assistance from government programs. This form is typically used in situations where individuals are applying for Medicare or other health-related benefits.
The TX HHS Form H1270, Data Integrity SAVERR Notification, is a crucial document for resolving data discrepancies in the Medicaid for the Elderly and People with Disabilities (MEPD) program. This form helps to identify and correct errors in client eligibility files, ensuring accurate and timely coverage for those who need it.
The Short-term Medicaid Notice Form H1267 is a crucial document that helps individuals determine their eligibility for short-term Medicaid benefits in Texas. This form is typically used in situations where an individual's application for short-term Medicaid has been denied, providing them with clear reasons why they are not eligible.
The TX HHS Form H1266, Short-term Medicaid Notice: Approved, helps individuals navigate the process of receiving short-term Medicaid benefits. This form is typically used in situations where an individual needs temporary assistance with healthcare costs while their application for ongoing Medicaid coverage is being processed.
The Presumptive Eligibility (PE) Worksheet, Form H1265, is a crucial tool for determining Medicaid eligibility in Texas. This form helps solve the problem of quickly identifying individuals who may be eligible for PE Medicaid benefits. Typically used by applicants seeking immediate financial assistance, this worksheet requires information about the applicant's household, including non-financial details and individual characteristics.
The Certification of No Medical Contraindication - Dental (Form H1263-B) helps resolve the issue of determining the amount that a patient must pay for their care in a nursing facility. This form is used when routine dental services are required, and it ensures that these services do not pose any medical risks to the patient.
The Certification of Medical Necessity - Durable Medical Equipment or Other IME (Form H1263-A) helps patients in nursing facilities receive a deduction from their income for medically necessary items. This form is used to certify the medical necessity of prosthetic devices, walking aids, special shoes or support for feet, and other durable medical equipment.
The TX HHS Form H1260, Parental Status/Inheritances, is a crucial document that helps resolve issues related to family inheritance and property ownership. This form is typically used in situations where the Health and Human Services Commission (HHS) needs additional information about a client's family situation.
