Texas Health and Human Services

Form H1087 is used by the Texas Health and Human Services Commission (HHSC) to confirm whether a child has received an overdue Texas Health Steps (THSteps) medical checkup. This verification is required when paid-claims records show no completed visit, but the child’s caretaker states that the checkup was done by a specific provider. The form helps HHSC coordinate with Texas Health Steps staff to ensure that children receive timely preventive care and that families remain eligible for certain benefits.

Texas Health and Human Services (HHS) issues Form H1062, the Birth Outcome Reminder Letter, to individuals enrolled in the CHIP Perinatal program. This notice is not a traditional form with fields; instead, it is an instructional letter explaining what the recipient must do after the birth of a baby. The letter is time-sensitive because it affects whether the newborn can receive Medicaid coverage from birth and whether the family may be billed for labor and delivery costs.

Form H1103 is a supporting document used in the Texas Temporary Assistance for Needy Families (TANF) eligibility process. Its purpose is straightforward but important: it confirms a child’s identity, age, relationship to the payee, and the authenticity of the documents presented. Although the form looks simple, it plays a central role in verifying that TANF benefits are issued only to eligible families and that the child listed on the case truly belongs to the household.

The Personal Responsibility Agreement (PRA), documented through Form H1073, is a core requirement for Texans applying for or receiving Temporary Assistance for Needy Families (TANF). Although the form itself is short, it carries significant legal and practical consequences for every adult in a TANF household. This guide explains the real meaning of each section, why the state requires these commitments, and how families can meet the expectations without running into preventable penalties.

The TX HHS Form H1111, Card Order Discrepancy Verification, is a crucial tool for resolving issues with card orders in various situations. This form helps identify and address discrepancies between ordered and received cards, ensuring that the correct quantity and sequence numbers are delivered.

The TX HHS Form H1107, Request for Forced Change of Medical Coverage, is a crucial document that helps resolve issues with medical coverage. This form is typically used in situations where a client's medical coverage needs to be changed due to various reasons such as hearing officer decisions or delayed billing.

The TX HHS Form H1106-A, Proofs You Need to Apply for a Social Security Number Card, is a crucial document that helps individuals obtain a Social Security number (SSN) card. This form is typically used in situations where an individual needs to apply for an SSN card, such as when applying for government benefits or employment.

The TX HHS Form H1106, Enumeration Referral, is a crucial document that helps solve the problem of individuals requiring Social Security Numbers as a condition of eligibility for assistance from the Texas Health and Human Services Commission. This form is typically used in situations where an applicant or recipient needs to obtain a Social Security Number to access federally funded benefits and services.

The TX HHS Form H1105, SNAP Expedited Screening Sheet, is designed to facilitate expedited screening for Supplemental Nutrition Assistance Program (SNAP) applicants. This form helps solve the problem of streamlining the application process for households that meet specific criteria, ensuring timely access to essential food assistance.

The TX HHS Form H1104, "90% Earned Income Deduction (EID) Eligibility and Tracking", helps determine eligibility for the 90% EID program. This form is used in situations where individuals need to track their earned income deduction and ensure they meet specific requirements to qualify for the program.