Social Security

This document is used by Texas Health and Human Services (HHS) to formally notify an insurance company that the State of Texas must be listed as the preferred remainder beneficiary on an annuity owned by a Medicaid applicant. Although the form itself is short, its implications are significant, because it affects eligibility for long-term care Medicaid and determines who receives remaining annuity funds after the annuitant’s death.

The Long-Term Care Partnership (LTCP) Resource Worksheet, Form H0057, is a practical tool designed to help individuals determine their eligibility for long-term care benefits. This form is typically used in situations where an individual is applying for or receiving LTCP benefits, such as when seeking assistance with daily living activities or healthcare services.

The TX HHS Form H0056, Notice of Opportunity to Designate Countable Resources, is a crucial document for individuals who have a Long-Term Care Partnership (LTCP) disregard balance. This form helps solve the problem of designating countable resources that can be used to meet long-term care expenses. Typically, this form is filled out by individuals who are eligible for LTCP benefits and need to designate specific resources to offset their long-term care costs.

The TX HHS Form H0055, Verification of Long-Term Care Insurance Policies, is a crucial document that helps determine eligibility for assistance. This form is typically filled out by an Eligibility Specialist from the Texas Health and Human Services (HHS) to verify the status of a long-term care insurance policy.

The Medicaid Buy-In Eligibility Notice (Form H0054) is a crucial document that helps individuals determine their eligibility for the Medicaid Buy-In program. This form is typically used in situations where an individual's premium payment has been received, making them eligible for coverage. The notice outlines the requirements and responsibilities necessary to maintain eligibility.

The Medicaid Buy-In Potential Eligibility Notice (Form H0053) is a crucial document that helps individuals determine their eligibility for Medicaid coverage. This form is typically filled out by individuals who are considering purchasing Medicaid coverage through the Medicaid Buy-In program.

This page explains Form H0011-R (Texas Simplified Application Project — TSAP) used to renew Supplemental Nutrition Assistance Program (SNAP) benefits under special simplified rules. The renewal targets households made up entirely of elderly (60+) or people receiving disability payments and with no earned income. Below you will find a clear, practical guide to what the form asks, who should file it, common pitfalls, what to attach, and concise answers to frequent questions.

Texas Form H0050, the Parent Profile Questionnaire, is used by the Texas Health and Human Services Commission (HHSC) to gather accurate information about an absent parent when a family applies for certain state benefits. The form helps the agency determine child support cooperation requirements and verify eligibility for assistance programs. Although the document looks simple at first glance, it carries real legal significance—incorrect or incomplete information can affect benefit eligibility or trigger repayment obligations.

The TX HHS Form H0010, Application for Advisory Committee Membership, helps individuals apply for membership on the Palliative Care Interdisciplinary Advisory Council. This form is typically used by professionals seeking to contribute their expertise to the council, as described in House Bill (H.B.) 1874, 84th Legislature, Regular Session, 2015.

The Policy Clarification Request (PCR) Form H0005, issued by Texas Health and Human Services (HHS), is a tool designed to help resolve policy-related questions or concerns. This form is typically used in situations where there is uncertainty about the application of a specific policy or procedure, particularly in the Medicaid for the Elderly and People with Disabilities (MEPD) and Texas Works (TW) programs.