TX HHS Form H1300. Declaration of Texas Residency
The Declaration of Texas Residency Form H1300 helps individuals who have recently moved to Texas and are in need of Medicaid benefits. This form is typically used by Supplemental Security Income (SSI) clients who have relocated to the state and require assistance with healthcare costs.
TX HHS Form H1263-A. Certification of Medical Necessity - Durable Medical Equipment or Other IME
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.
TX HHS Form H1228. Application Letter
The TX HHS Form H1228, Application Letter, helps individuals apply for Medicaid benefits in specific situations.
TX HHS Form H1265. Presumptive Eligibility (PE) Worksheet
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.
TX HHS Form H1276. Burial Fund Designation Worksheet
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.
TX HHS Form H1272-A. Spousal Impoverishment Assessment Letter
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.
TX HHS Form H1226. Transfer of Assets/Undue Hardship Notification
The TX HHS Form H1226, Transfer of Assets/Undue Hardship Notification, helps individuals who are receiving Medicaid benefits in Texas to notify the state of any asset transfers or undue hardship situations that may affect their eligibility.
TX HHS Form H1273. Request for Assessment Information
The TX HHS Form H1273, Request for Assessment Information, helps individuals or organizations seeking an assessment of their resources to provide necessary documentation.
TX HHS Form H1267. Short-term Medicaid Notice Not Approved
The Short-term Medicaid Notice Form H1267 is a crucial document that helps individuals determine their eligibility for short-term Medicaid benefits in Texas.
TX HHS Form H1550. Out of State NBCCEDP Verification
The TX HHS Form H1550, Out of State NBCCEDP Verification, is a crucial document that helps verify the eligibility of individuals participating in the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) outside of Texas.