Texas Health and Human Services Forms

This Form is used for requesting extra effort referrals for the Texas Health Steps program in Texas.

This document is used for verifying the medical check-up of the Healthy Steps program in Texas.

This form is used for reporting fraud or suspected fraudulent activity regarding treatment facilities in Texas. It is a referral document that aims to uncover and address fraudulent practices within the healthcare system.

This form is used for the Snap expedited screening process in Texas. It helps determine eligibility for fast-track approval of food assistance benefits.

This form is used for making a referral to request enumeration services in the state of Texas.

This form is used for referring individuals to be enumerated in Texas. It is available in both English and Spanish.

This form is used for the Declaration of Citizenship and Identity in Texas.

This form is used for special reviews and denials related to Temporary Assistance for Needy Families (TANF) program in Texas. It helps gather necessary information for the review or denial process.

This Form is used for sending a notification letter in Texas. It is a document that notifies individuals about certain information or updates.

This form is used for applying for Medicaid coverage in Texas for individuals who had coverage in the past.

This Form is used for requesting retroactive Medicaid coverage in Texas.

This form is used for tracking eligibility and deductions related to the 90% Earned Income Deduction (EID) in Texas.

This Form is used for verifying discrepancies in card orders in the state of Texas.

This form is used for requesting a forced change of medical coverage in the state of Texas.

This form is used to calculate income for medical programs in Texas. It helps determine eligibility for Medicaid and other healthcare assistance programs.

This form is used for transmitting medical bills and insurance information in Texas. It is available in both English and Spanish.

This form is used for documenting the sources of proof for eligibility in Texas state assistance programs.

This form is used for verifying child support payments in the state of Texas. It is used to provide proof of income and support payments made by the noncustodial parent.

This form is used for verifying accounts in Texas. It is available in both English and Spanish.

This form is used for confirming an office visit and providing an excuse for work or school absence in Texas.

This form is used for verifying child care expenses in Texas. It is available in both English and Spanish.

This document is for confirming a visit to the doctor's office and requesting permission to miss work or school in Texas.

This form is used for verifying benefits in Texas. It is a document that helps individuals confirm their eligibility and current benefits status.

This type of document is used for the verification of benefits in the state of Texas.

This Form is used for verifying childcare expenses in Texas.

This form is used for completing a worksheet related to the Texas Temporary Assistance for Needy Families (TANF) program. It is used to gather information about a household's income, expenses, and other eligibility criteria.

This form is used for verifying living arrangements in the state of Texas. It helps to ensure that individuals are receiving the appropriate benefits based on their living situation.

This Form is used for verifying housing arrangements in Texas.

This form is used for eligibility case reading in Texas.

This form is used for employment registration in Texas.

This form is used for transmitting and receiving controlled EBT documents in the state of Texas.

This form is used for verifying medical expenses in Texas. It is available in both English and Spanish.

This form is used for reporting Medicaid information in Texas. It is available in both English and Spanish.