TX HHS Form H3037. Report of Pregnancy
The TX HHS Form H3037, Report of Pregnancy, is a vital tool for healthcare providers and pregnant women seeking cash assistance and/or Medicaid coverage. This form helps administrators determine eligibility for these programs by gathering essential information about the pregnancy.
TX HHS Form H3618-A. Resident Transaction Notice for Designated Vendor Numbers
The Resident Transaction Notice for Designated Vendor Numbers (Form H3618-A) is a crucial document that helps facilitate the transfer of assets between Medicaid recipients and designated vendors.
TX HHS Form H3675. Application Acknowledgement
The TX HHS Form H3675, Application Acknowledgement, is a crucial document for individuals interested in the STAR+PLUS Home and Community Based Services (HCBS) program.
TX HHS Form H3038-P. CHIP Perinatal - Emergency Medical Services Certification
Form H3038-P is used in Texas to document that a non-citizen patient received treatment for a true medical emergency.
TX HHS Form H3676. Managed Care Pre-Enrollment Assessment Authorization
Form H3676, titled "Managed Care Pre-Enrollment Assessment Authorization," is used within Texas Medicaid programs to authorize and document pre-enrollment assessments for individuals participating in various managed care and waiver programs.
TX HHS Form H4803. Notice of Hearing
The TX HHS Form H4803, Notice of Hearing, serves as a vital tool for individuals appealing health-related decisions made by the Texas Health and Human Services (HHS).
TX HHS Form H2581. Choices Noncooperation Report
The TX HHS Form H2581, Choices Noncooperation Report, helps resolve issues related to non-participation or lack of cooperation from clients in the Temporary Assistance for Needy Families (TANF) program.
TX HHS Form H4100. Money Receipt
This document is a standardized receipt used by the Texas Health and Human Services Commission (HHSC) to record payments made toward a client’s account.
TX HHS Form H4800. Fair Hearing Request Summary
The TX HHS Form H4800, Fair Hearing Request Summary, is a crucial document for resolving disputes related to health and human services in Texas. This form helps individuals appeal decisions made by the agency, ensuring that their concerns are heard and addressed promptly.
TX HHS Form H4808. Notice of Change in Applied Income/Notice of Denial of Medical Assistance
The TX HHS Form H4808, Notice of Change in Applied Income/Notice of Denial of Medical Assistance, is a crucial document for individuals who receive medical assistance.