TX HHS Form H1065. Tuition and Fee Exception Letter
The TX HHS Form H1065, Tuition and Fee Exception Letter, is a certification document used to confirm that a student's dependent child received Temporary Assistance for Needy Families (TANF) benefits for at least six months during their senior year in high school.
TX HHS Form H1062. Birth Outcome Reminder Letter
Texas Health and Human Services (HHS) issues Form H1062, the Birth Outcome Reminder Letter, to individuals enrolled in the CHIP Perinatal program.
TX HHS Form H1061. Birth Outcome Letter
The Birth Outcome Letter (Form H1061) is a crucial document that helps individuals pay for the birth of their baby. This form is typically filled out by new parents soon after their child's arrival, providing essential information about the baby's details.
TX HHS Form H1060. Case Preparation Guide
Form H1060, known as the Case Preparation Guide, is an internal review and eligibility verification tool used by Texas Health and Human Services staff during case certification, recertification, and special reviews.
TX HHS Form H1059. Interview Observation Instrument
The TX HHS Form H1059, Interview Observation Instrument, is a tool designed to assess the effectiveness of social workers in conducting thorough interviews with clients.
TX HHS Form H1057. Declaration of Informal Marriage
The TX HHS Form H1057, Declaration of Informal Marriage, is a crucial document for individuals who have entered into an informal marriage in the state of Texas.
TX HHS Form H1054-IME. Receipt of Dental Service
The TX HHS Form H1054-IME, Receipt of Dental Service, helps individuals or authorized representatives document the receipt of dental services.
TX HHS Form H1053-IME. Provider Notice of Incurred Medical Expense Decision
The Provider Notice of Incurred Medical Expense Decision (Form H1053-IME) is a communication tool used by the Texas Health and Human Services Commission (HHSC). It informs long-term care providers about HHSC’s decision to approve or deny an individual's Incurred Medical Expense (IME).
TX HHS Form H1052-IME. Notice of Delay in Decision for Incurred Medical Expense Action Needed
The TX HHS Form H1052-IME, Notice of Delay in Decision for Incurred Medical Expense, is a crucial document that helps resolve delays in processing medical expense claims.
TX HHS Form H1051-IME. Receipt of Durable Medical Equipment
The TX HHS Form H1051-IME, Receipt of Durable Medical Equipment, is a crucial document that helps individuals or authorized representatives confirm the receipt of medical equipment.