The TX HHS Form H1215, Report of Delay in Certification, helps resolve issues related to delayed certification for Medicaid applicants. This form is typically used by MEPD Eligibility Specialists when an applicant's certification is pending beyond the initial 30-day period. The form is filled out to document the reason for the delay and provide a plan for resolving the issue.
The TX HHS Form H1214-FTI, Request for Pension Information - FTI, is a crucial document that helps determine an individual's eligibility for medical assistance. This form is typically used in situations where an individual has applied for medical assistance and requires pension information to complete the application process.
The TX HHS Form H1214, Request for Pension Information, is a crucial document that helps determine an individual's eligibility for medical assistance. This form is typically completed by individuals who have applied for medical assistance and need to provide additional information to support their claim.
The TX HHS Form H1213, "Children's Health-Care Benefits: More Facts Needed from the Parent Who Has Custody," helps resolve situations where one parent applies for health-care benefits on behalf of their child. This form is typically filled out by a parent who has custody of the child and is a natural biological, adopted, or stepparent.
The TX HHS Form H1210, Subrogation for Trusts, Annuities, and Court Settlements, is a crucial document that helps resolve subrogation claims related to trusts, annuities, and court settlements. This form is typically used in situations where there are complex financial arrangements involved, such as special needs trusts, qualifying income trusts, or pooled trusts.
The Notification of Eligibility Special Medicaid Program (State Facilities) form, also known as Form H1207-A, helps determine the eligibility of state facility residents for assistance through the Health and Human Services Commission. This form is used in situations where a resident's income varies from month to month, making it difficult to accurately calculate their projected payment.
The TX HHS Form H1207, Notification of Eligibility - Special Medicaid Programs, helps individuals determine their eligibility for specific Medicare benefits. This form is typically used by those who have determined that they meet the requirements for Qualified Medicare Beneficiary (QMB), Qualified Disabled and Working Individuals (QDWI), or Specified Low-Income Medicare Beneficiary (SLMB) programs.
The TX HHS Form H1204, Long Term Care Options, helps individuals or caregivers determine the most suitable long-term services or supports for their needs. This form is typically used in situations where an individual requires assistance with daily living activities due to a medical or physical disability. The form provides a comprehensive overview of available programs and services that can help individuals maintain independence and quality of life.
The MAO Worksheet-Other Changes (Form H1202-B) is a crucial document for individuals navigating changes in their circumstances that may impact their eligibility for certain programs or services. This form helps to facilitate the process of reporting these changes to the relevant authorities, ensuring that benefits are accurately adjusted and that individuals receive the support they need.
The TX HHS Form H1202-A, MAO Worksheet-Income Changes, helps individuals or couples who receive Medicaid benefits to report changes in their income. This form is used when there has been an increase or decrease in income that may affect the individual's or couple's eligibility for Medicaid benefits.
