Form H2065-D Notification of Managed Care Program Services - Texas

Form H2065-D Notification of Managed Care Program Services - Texas

What Is Form H2065-D?

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 H2065-D?A: Form H2065-D is the Notification of Managed Care Program Services form used in Texas.

Q: What is the purpose of Form H2065-D?A: The purpose of Form H2065-D is to inform individuals about their enrollment in a managed care program in Texas.

Q: Who uses Form H2065-D?A: Form H2065-D is used by the Texas Health and Human Services Commission (HHSC) to notify individuals about their enrollment in a managed care program.

Q: What information is included in Form H2065-D?A: Form H2065-D includes information such as the name of the managed care organization, assigned primary care provider, and the effective date of enrollment.

Q: How is Form H2065-D delivered to individuals?A: Form H2065-D is typically mailed to the individual's address on file with the HHSC.

Q: What should individuals do upon receiving Form H2065-D?A: Upon receiving Form H2065-D, individuals should review the information provided and contact the HHSC or the managed care organization if they have any questions or need to make changes to their enrollment.

Q: Are individuals required to enroll in a managed care program?A: Yes, most individuals who receive Medicaid in Texas are required to enroll in a managed care program, unless they have an exemption.

Q: How can individuals opt out of a managed care program?A: Individuals can request an exemption from the managed care program by contacting the HHSC or their local benefits office.

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Form Details:

  • Released on January 1, 2019;
  • 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 H2065-D by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form H2065-D Notification of Managed Care Program Services - Texas

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