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.
Q: What is Form 3065?
A: Form 3065 is the County Indigent Health Care Program (CIHCP) Worksheet specific to the state of 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 medical assistance for eligible low-income residents who do not qualify for other government health care programs.
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, assets, and residency requirements. Each county may have slightly different criteria.
Q: What is Form 3065 used for?
A: Form 3065 is used to determine eligibility for the County Indigent Health Care Program (CIHCP) in Texas. It collects information about the applicant's income, assets, and residency status.
Q: Can I apply for the County Indigent Health Care Program (CIHCP) if I already have health insurance?
A: In most cases, the County Indigent Health Care Program (CIHCP) is for individuals who have no other health insurance. However, the eligibility criteria may vary by county.
Form Details:
Download a fillable version of Form 3065 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.