Form 3066 County Indigent Health Care Program (Cihcp) Report of Changes - Texas

Form 3066 County Indigent Health Care Program (Cihcp) Report of Changes - Texas

What Is Form 3066?

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 3066?
A: Form 3066 is a report used for the County Indigent Health Care Program (CIHCP) in 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 health care services to certain low-income residents.

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 and resources.

Q: What is the purpose of the Form 3066?
A: The purpose of Form 3066 is to report changes in an individual's eligibility or enrollment in the County Indigent Health Care Program (CIHCP).

Q: Who should complete the Form 3066?
A: The Form 3066 should be completed by the applicant or their authorized representative.

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Form Details:

  • Released on January 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 3066 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 3066 County Indigent Health Care Program (Cihcp) Report of Changes - Texas

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  • Form 3066 County Indigent Health Care Program (Cihcp) Report of Changes - Texas, Page 1
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