Form H1551 Treatment Verification Form - Medicaid for Breast and Cervical Cancer - Texas

Form H1551 Treatment Verification Form - Medicaid for Breast and Cervical Cancer - Texas

What Is Form H1551?

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 the Form H1551?A: The Form H1551 is the Treatment Verification Form for Medicaid for Breast and Cervical Cancer in Texas.

Q: Who is eligible for Medicaid for Breast and Cervical Cancer in Texas?A: Women diagnosed with breast or cervical cancer who meet certain income and residency requirements are eligible for Medicaid for Breast and Cervical Cancer in Texas.

Q: What is the purpose of the Form H1551?A: The purpose of the Form H1551 is to verify the treatment received by a patient diagnosed with breast or cervical cancer.

Q: What information is required on the Form H1551?A: The Form H1551 requires information such as the patient's name, social security number, diagnosis, treatment dates, and provider information.

Q: What happens after submitting the Form H1551?A: After submitting the Form H1551, it will be reviewed by the eligibility office to determine if the treatment received qualifies for Medicaid coverage.

Q: Can I appeal if my Form H1551 is denied?A: Yes, you have the right to appeal if your Form H1551 is denied. You will receive a notice explaining the denial and the steps to take for an appeal.

Q: Is there a deadline for submitting the Form H1551?A: Yes, the Form H1551 must be submitted within 180 days from the date of diagnosis.

Q: Are there any fees associated with applying for Medicaid for Breast and Cervical Cancer?A: No, there are no fees associated with applying for Medicaid for Breast and Cervical Cancer in Texas.

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Form Details:

  • Released on June 1, 2016;
  • 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 H1551 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form H1551 Treatment Verification Form - Medicaid for Breast and Cervical Cancer - Texas

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