TX HHS Form H1297. Request for Information from Teacher Retirement System of Texas
The TX HHS Form H1297, Request for Information from Teacher Retirement System of Texas, is a crucial document that helps determine the eligibility of an individual applying for medical assistance.
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 H1350. Opportunity to Register to Vote
The TX HHS Form H1350, Opportunity to Register to Vote, is a crucial document that helps individuals register to vote in the state of Texas. This form is typically filled out by individuals who are not currently registered to vote where they live.
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.
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 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 H1217. Quality Assurance Monitoring System
The TX HHS Form H1217, Quality Assurance Monitoring System, is a crucial tool for ensuring the accuracy and effectiveness of Medicaid eligibility determinations.
TX HHS Form H1215. Report of Delay in Certification
The TX HHS Form H1215, Report of Delay in Certification, helps resolve issues related to delayed certification for Medicaid applicants. This form is typically used by MEPD Eligibility Specialists when an applicant's certification is pending beyond the initial 30-day period.
TX HHS Form H1214-FTI. Request for Pension Information - FTI
The TX HHS Form H1214-FTI, Request for Pension Information - FTI, is a crucial document that helps determine an individual's eligibility for medical assistance.
TX HHS Form H1214. Request for Pension Information
The TX HHS Form H1214, Request for Pension Information, is a crucial document that helps determine an individual's eligibility for medical assistance.