Form 3065 County Indigent Health Care Program (Cihcp) Worksheet - Texas

Form 3065 County Indigent Health Care Program (Cihcp) Worksheet - Texas

What Is Form 3065?

This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 3065?A: Form 3065 is the County Indigent Health Care Program (CIHCP) Worksheet specific to the state of Texas.

Q: What is the County Indigent Health Care Program (CIHCP)?A: The County Indigent Health Care Program (CIHCP) is a program in Texas that provides medical assistance for eligible low-income residents who do not qualify for other government health care programs.

Q: Who is eligible for the County Indigent Health Care Program (CIHCP)?A: Eligibility for the County Indigent Health Care Program (CIHCP) in Texas is based on income, assets, and residency requirements. Each county may have slightly different criteria.

Q: What is Form 3065 used for?A: Form 3065 is used to determine eligibility for the County Indigent Health Care Program (CIHCP) in Texas. It collects information about the applicant's income, assets, and residency status.

Q: Can I apply for the County Indigent Health Care Program (CIHCP) if I already have health insurance?A: In most cases, the County Indigent Health Care Program (CIHCP) is for individuals who have no other health insurance. However, the eligibility criteria may vary by county.

ADVERTISEMENT

Form Details:

  • Released on February 1, 2020;
  • The latest edition provided by the Texas Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 3065 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 3065 County Indigent Health Care Program (Cihcp) Worksheet - Texas

4.7 of 5 (20 votes)
  • Form 3065 County Indigent Health Care Program (Cihcp) Worksheet - Texas

    1

  • Form 3065 County Indigent Health Care Program (Cihcp) Worksheet - Texas, Page 2

    2

  • Form 3065 County Indigent Health Care Program (Cihcp) Worksheet - Texas, Page 3

    3

  • Form 3065 County Indigent Health Care Program (Cihcp) Worksheet - Texas, Page 4

    4

  • Form 3065 County Indigent Health Care Program (Cihcp) Worksheet - Texas, Page 5

    5

  • Form 3065 County Indigent Health Care Program (Cihcp) Worksheet - Texas, Page 1
  • Form 3065 County Indigent Health Care Program (Cihcp) Worksheet - Texas, Page 2
  • Form 3065 County Indigent Health Care Program (Cihcp) Worksheet - Texas, Page 3
  • Form 3065 County Indigent Health Care Program (Cihcp) Worksheet - Texas, Page 4
  • Form 3065 County Indigent Health Care Program (Cihcp) Worksheet - Texas, Page 5
Prev 1 2 3 4 5 Next
ADVERTISEMENT

Related Documents