Form H0065-MBIC Hardship Form (Medicaid Buy-In for Children) - Texas

Form H0065-MBIC Hardship Form (Medicaid Buy-In for Children) - Texas

What Is Form H0065-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 H0065-MBIC?
A: Form H0065-MBIC is the Hardship Form for Medicaid Buy-In for Children in Texas.

Q: What is Medicaid Buy-In for Children?
A: Medicaid Buy-In for Children is a program in Texas that provides affordable health coverage to children with disabilities.

Q: Who is eligible for Medicaid Buy-In for Children?
A: Children with disabilities who are under 19 years old, meet income requirements, and do not have access to affordable health insurance coverage are eligible for Medicaid Buy-In for Children.

Q: What is the purpose of Form H0065-MBIC?
A: The purpose of Form H0065-MBIC is to determine if a child meets the eligibility criteria for Medicaid Buy-In for Children.

Q: What information is required on Form H0065-MBIC?
A: Form H0065-MBIC requires information about the child's identity, disability, income, and health insurance coverage, among other details.

Q: How do I submit Form H0065-MBIC?
A: You can submit Form H0065-MBIC by mail, fax, or in person at your local HHSC office.

Q: Is there a deadline to submit Form H0065-MBIC?
A: There is no specific deadline to submit Form H0065-MBIC, but it is recommended to submit it as soon as possible to start the application process.

Q: What happens after I submit Form H0065-MBIC?
A: After you submit Form H0065-MBIC, the HHSC will review your application and notify you of the eligibility determination. If approved, your child will receive Medicaid Buy-In for Children coverage.

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Form Details:

  • Released on July 1, 2015;
  • 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 H0065-MBIC by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form H0065-MBIC Hardship Form (Medicaid Buy-In for Children) - Texas

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