Texas Health and Human Services Forms

This form is used for requesting information from the Bureau of Veterans Affairs and obtaining the client's authorization.

This form is used for verifying ownership of mineral rights in the state of Texas.

This document is a cover letter in Spanish for a redetermination form (Formulario H1233-MBIC-S) used in Texas for the Medicaid Buy-In for Children program.

This form is used for Texas residents who are applying for temporary assistance programs and need to provide a statement declaring their intent to return home after receiving assistance.

This document is used to obtain a certificate of mining rights in Texas.

This Form is used for notifying the delay in certification process in the state of Texas. It provides information about the reason for the delay and any necessary steps to be taken.

This form is used for designating burial funds in the state of Texas. It allows individuals to specify how their burial expenses should be paid for.

This form is used for providing guidance during the Medicaid eligibility interview process in Texas. It helps to ensure that individuals meet the necessary requirements to qualify for Medicaid benefits.

This form is used for requesting information from the Bureau of Veterans Affairs in Texas. It requires the client's authorization.

This form is used for verifying civil services benefits in the state of Texas.

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

This form is used for verifying the existence and validity of a health insurance policy in the state of Texas.

This form is used for certifying the medical necessity in the state of Texas. It is utilized to validate the need for specific medical treatments or services.

This form is used for managing finances in the state of Texas. It is designed to help individuals or organizations track and document their financial activities.

Este formulario es utilizado para proporcionar un aviso sobre Medicaid a corto plazo en el estado de Texas. Este aviso informa sobre los beneficios de Medicaid temporal y está aprobado por las autoridades correspondientes.

This form is used for certifying that there are no medical reasons preventing a dental procedure in the state of Texas.

This form is used for certifying the medical necessity of durable medical equipment or other items in the state of Texas.

Este formulario se utiliza para proporcionar un aviso a los solicitantes de Medicaid a corto plazo en Texas.

This Form is used for notifying individuals in Texas about their approved short-term Medicaid coverage.

This Form is used for notifying individuals in Texas that their application for Short-Term Medicaid has not been approved.

This Form is used for determining parental status and inheritances in the state of Texas. It is available in both English and Spanish.

This Form is used for requesting assessment information in Texas. It is available in both English and Spanish.

This form is used for notifying individuals in Texas about the Medicaid eligibility resource assessment.

This document is a Spanish-language form called "Formulario H1274-S Notificacion De Valoracion De Recursos Para Determinar El Derecho a Medicaid" used in Texas. It is used to notify individuals of the assessment of resources for determining eligibility for Medicaid.

This document is used for certifying the medical necessity in Texas. It is available in Spanish.

This form is used for designating a burial fund in the state of Texas. It helps individuals specify the funds that should be set aside for their burial expenses.

This form is used for notifying Texas about data integrity issues in the Saverr system.

This Form is used for assessing spousal impoverishment in Texas. It is available in both English and Spanish.

This form is used in Texas to notify individuals of the opportunity to designate funds for burial purposes.

This form is used for requesting an expanded spousal protected resource assessment in the state of Texas.

This Form is used for requesting information about the Patient Trust Fund in Texas. It is used to gather information regarding funds held on behalf of patients in various healthcare facilities.

This form is used for declaring resources in Texas. It is available in both English and Spanish.

This form is used for requesting information about joint bank accounts in the state of Texas.

This form is used for reporting the maintenance needs of a residence in the state of Texas. It helps individuals communicate their specific needs for repairs and improvements to their home.

This document is used for declaring residency in the state of Texas. It is required to establish eligibility for various state programs and benefits.

Este formulario se utiliza en Texas para notificar sobre la oportunidad de designar fondos para gastos de entierro. (Spanish translation: This form is used in Texas to notify about the opportunity to designate funds for burial expenses.)