TX HHS Form H1200. Application for Assistance Your Texas Benefits
The TX HHS Form H1200, Application for Assistance - Your Texas Benefits, helps individuals who already receive Medicare benefits to pay their Medicare costs.
TX HHS Form H1131. Individually Identifiable Health Information Fax Transmittal
The TX HHS Form H1131: Individually Identifiable Health Information Fax Transmittal is a confidential document designed to facilitate the secure transmission of sensitive health information.
TX HHS Form H1137. Confirmation of Office Visit Work/School Excuse
The TX HHS Form H1137, Confirmation of Office Visit Work/School Excuse, is a practical tool for verifying an individual's presence in a government office.
TX HHS Form H1222. Private Health Insurance Information
The TX HHS Form H1222, Private Health Insurance Information, helps individuals keep track of their private health insurance policies and benefits. This form is typically used by individuals who have both private health insurance and Medicaid coverage.
TX HHS Form H1113. Application for Prior Medicaid Coverage
The TX HHS Form H1113, Application for Prior Medicaid Coverage, helps individuals who have unpaid medical bills from the past three months to apply for Medicaid coverage.
TX HHS Form H1200-PFS. Medicaid Application for Assistance (for Residents of State Facilities) Property and Financial Statement
The TX HHS Form H1200-PFS, Medicaid Application for Assistance (for Residents of State Facilities) Property and Financial Statement, is a crucial document that helps facilitate the application process for Medicaid assistance to residents of state facilities.
TX HHS Form H1133. Account Verification
The TX HHS Form H1133, Account Verification, helps determine eligibility for assistance from the Texas Health and Human Services Commission. This form is typically used in situations where an individual is applying for aid and requires verification of their account information.
TX HHS Form H1213. Childrens Health-Care Benefits More Facts Needed from the Parent Who Has Custody
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.
TX HHS Form H1201-EZ. Medicaid Eligibility Client Declaration Worksheet
The TX HHS Form H1201-EZ, Medicaid Eligibility Client Declaration Worksheet, is a crucial document that helps determine an individual's eligibility for Medicaid benefits.
TX HHS Form H1119. Medical Programs Income Worksheet
The TX HHS Form H1119, Medical Programs Income Worksheet, helps determine an individual's eligibility for medical programs by gathering information on their income and expenses.