The Burial Fund Designation Worksheet (Form H1276) is a practical tool designed to help individuals designate their burial funds for the purpose of determining countable resources in certain situations. This form is typically used by individuals who are applying for or receiving benefits from government programs, such as Medicaid or Supplemental Security Income (SSI), where the value of their burial fund must be considered.
The TX HHS Form H1275, Request for Expanded Protected Resource Assessment, is a crucial document that helps solve the problem of limited income for community spouses. In situations where the Spousal Protected Resources Assessment (SPRA) provided by an eligibility specialist does not meet the Minimum Monthly Maintenance Needs Allowance (MMMNA), this form enables the client to request an expanded assessment.
The TX HHS Form H1274, Medicaid Eligibility Resource Assessment Notification, is a crucial document that helps determine an individual's eligibility for Medicaid benefits. This form is typically filled out by medical care facilities or Community-Based Alternative (CBA) clients to assess the individual's resources and ownership interest.
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.
