TX HHS Form H1071. Family Violence Exemption for Medicaid and CHIP
The Family Violence Exemption for Medicaid and CHIP (Form H1071) helps individuals who are afraid of being harmed or have been hurt to maintain their privacy while applying for healthcare benefits.
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 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 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 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.
TX HHS Form H1049-3. Self-Employment Income Worksheet
The Texas Health and Human Services (HHS) Form H1049-3, Self-Employment Income Worksheet, is a practical tool designed to help self-employed individuals accurately calculate their annual or seasonal monthly self-employment income.
TX HHS Form H1046. Inpatient Medical Services Certification
The TX HHS Form H1046, Inpatient Medical Services Certification, is a crucial document that helps solve the problem of verifying inpatient medical treatment for patients who are inmates of an institution.