Texas Health and Human Services Forms

This document is a bilingual notice of hearing form used in Texas. It is used to notify individuals about a scheduled hearing.

This form is used for notifying individuals of an upcoming hearing in the state of Texas.

This form is used for requesting and authorizing to keep the record of a hearing open in Texas.

This Form is used for updating data after a fair hearing in Texas.

This document is a form in Spanish used in Texas for requesting another appointment or withdrawing a previous application.

This Form is used for requesting the withdrawal of an appeal in the state of Texas. It allows individuals to formally withdraw their appeal from a previous decision or ruling.

This Form is used for requesting and authorizing the fair hearing record to remain open in Texas. It is available in both English and Spanish.

This Form is used for confirming a verbal request to cancel an appeal in Texas. It is available in both English and Spanish.

This form is used for logging and reporting cases of fraud in the state of Texas.

This form is used for withdrawing an appeal application in Texas.

This form is used to provide appeals information specific to the state of Texas.

This type of document is used for providing information about appeals in Texas.

This form is used for documenting the action taken on a hearing decision in the state of Texas. It is a legal document that outlines the steps or measures that have been taken in response to the decision made during a hearing.

This form is used for notifying individuals in Texas about an upcoming administrative disqualification hearing.

This type of document, Formulario H4837-S, is a Carta de Presentacion del Paquete de Pruebas para la Audiencia Imparcial in Texas. (Spanish)

This type of document is a "H4851-FS Aviso De Audiencia Administrativa De Descalificacion" form in Spanish. It is used in Texas for providing notice of an administrative disqualification hearing.

This form is used for providing notice of an administrative disqualification hearing in Texas. It is available in both English and Spanish.

This form is used for notifying individuals in Texas about an upcoming administrative disqualification hearing. It is available in both English and Spanish.

This Form is used for notifying individuals about an administrative disqualification hearing in Texas. It is available in both English and Spanish.

This Form is used for requesting another appointment in Texas. The form is available in English and Spanish.

This form is used for notifying individuals in Texas of a decision made regarding their case. It is available in both English and Spanish.

This document is a denial notice for the Medicaid Buy-In for Children program in Texas. It is used to inform applicants that their application has been denied.

This Form is used for obtaining an approved hardship waiver for the Medicaid Buy-In for Children program in Texas.

This form is used for clients in Texas to file a complaint of discrimination. It is available in both English and Spanish.

This type of document is a Spanish version of the approved Hardship Waiver Form H5019-MBIC-S for Medicaid Buy-In for Children in Texas.

This Form is used for the Medicaid Buy-In for Children program in Texas. It is specifically for a Hardship Waiver that has been denied.

This form is used to notify the Medicaid Buy-In for Children program in Texas about changes in monthly payments or cost share limits.

This form is used for acknowledging the receipt of a notice in the state of Texas.

This Form is used for the initial certification of Medicaid Buy-In for Children (MBIC) program in Texas. It helps families apply for healthcare coverage for their children through Medicaid.

This form is used for notifying individuals in Texas (Spanish-speaking) about the denial of their Medicaid Buy-In for Children application.

This Form is used for the Fair Hearings Evidence Packet Cover Letter in Texas.

This tipo de documento es utilizado para la Certificación Inicial (Medicaid Buy-In para Niños) en Texas. Es un formulario en español.

This Form is used for notifying changes in monthly payment or cost share limit for Medicaid Buy-In for Children program in Texas. (Spanish version)

This document is used for notifying the termination of Medicaid Buy-In for Children program in Texas.

This document is a notice informing someone that their application for a Hardship Waiver for the Medicaid Buy-In for Children program in Texas has been denied. It is written in Spanish.

This form is used for conducting a Community First Choice Assessment in Texas.