Form H1028-MBIC Employment Verification (Medicaid Buy-In for Children) - Texas

Form H1028-MBIC Employment Verification (Medicaid Buy-In for Children) - Texas

What Is Form H1028-MBIC?

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 H1028-MBIC?
A: Form H1028-MBIC is an Employment Verification form for Medicaid Buy-In for Children (MBIC) in Texas.

Q: Who is eligible for Medicaid Buy-In for Children in Texas?
A: Texas residents under the age of 19, who have a disability or special health-care needs, and whose family income is at or below the Medicaid limit, may be eligible for Medicaid Buy-In for Children (MBIC).

Q: What is the purpose of Form H1028-MBIC?
A: Form H1028-MBIC is used to verify employment income and other financial information of the parent or caretaker relative of a child applying for or enrolled in MBIC.

Q: Who needs to complete Form H1028-MBIC?
A: The parent or caretaker relative of a child applying for or enrolled in Medicaid Buy-In for Children (MBIC) needs to complete and submit Form H1028-MBIC.

Q: What information is required on Form H1028-MBIC?
A: Form H1028-MBIC requires information about the employment income and other financial resources of the parent or caretaker relative.

Q: How should Form H1028-MBIC be submitted?
A: Form H1028-MBIC should be submitted to the local Health and Human Services Commission (HHSC) office either in person, by mail, or fax.

Q: Is there a deadline for submitting Form H1028-MBIC?
A: There is no specific deadline for submitting Form H1028-MBIC. However, it is recommended to submit the form as soon as possible to ensure timely processing of the MBIC application or renewal.

Q: Can I make copies of Form H1028-MBIC?
A: Yes, you can make copies of Form H1028-MBIC for your records or if you need to submit the form for multiple children in the same household.

Q: What happens after submitting Form H1028-MBIC?
A: After submitting Form H1028-MBIC, the information provided will be used to determine the child's eligibility for Medicaid Buy-In for Children (MBIC).

ADVERTISEMENT

Form Details:

  • Released on September 1, 2018;
  • 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 H1028-MBIC by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form H1028-MBIC Employment Verification (Medicaid Buy-In for Children) - Texas

4.8 of 5 (15 votes)
  • Form H1028-MBIC Employment Verification (Medicaid Buy-In for Children) - Texas

    1

  • Form H1028-MBIC Employment Verification (Medicaid Buy-In for Children) - Texas, Page 2

    2

  • Form H1028-MBIC Employment Verification (Medicaid Buy-In for Children) - Texas, Page 1
  • Form H1028-MBIC Employment Verification (Medicaid Buy-In for Children) - Texas, Page 2
Prev 1 2 Next
ADVERTISEMENT