Form H1746-A Medicaid for the Elderly and People With Disabilities (Mepd) Referral Cover Sheet - Texas

Form H1746-A Medicaid for the Elderly and People With Disabilities (Mepd) Referral Cover Sheet - Texas

What Is Form H1746-A?

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 H1746-A?
A: Form H1746-A is the Medicaid for the Elderly and People With Disabilities (MEPD) Referral Cover Sheet in Texas.

Q: Who is this form for?
A: This form is for individuals who are applying for Medicaid for the Elderly and People With Disabilities in Texas.

Q: What is the purpose of Form H1746-A?
A: The purpose of this form is to serve as a cover sheet when submitting an application for Medicaid for the Elderly and People With Disabilities in Texas.

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Form Details:

  • Released on June 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 H1746-A by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form H1746-A Medicaid for the Elderly and People With Disabilities (Mepd) Referral Cover Sheet - Texas

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  • Form H1746-A Medicaid for the Elderly and People With Disabilities (Mepd) Referral Cover Sheet - Texas, Page 1
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