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 3072?
A: Form 3072 is the County Indigent Health Care Program (CIHCP) Monthly Financial Report.
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 limited health care benefits to eligible low-income individuals who do not qualify for other state or federal health care programs.
Q: Who needs to submit Form 3072?
A: County Indigent Health Care Programs (CIHCPs) in Texas need to submit Form 3072 as a monthly financial report.
Q: What information is required in Form 3072?
A: Form 3072 requires information on the total number of individuals served by the CIHCP, the total amount of expenditures, revenue sources, and other financial information.
Q: What is the purpose of Form 3072?
A: The purpose of Form 3072 is to track and report the financial information of the County Indigent Health Care Program (CIHCP) in Texas.
Form Details:
Download a fillable version of Form 3072 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.