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 3066?
A: Form 3066 is a report used for the County Indigent Health Care Program (CIHCP) in 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 health care services to certain low-income residents.
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 and resources.
Q: What is the purpose of the Form 3066?
A: The purpose of Form 3066 is to report changes in an individual's eligibility or enrollment in the County Indigent Health Care Program (CIHCP).
Q: Who should complete the Form 3066?
A: The Form 3066 should be completed by the applicant or their authorized representative.
Form Details:
Download a fillable version of Form 3066 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.