Form H0064 State Kids Insurance Program (Skip) Referral - Texas

Form H0064 State Kids Insurance Program (Skip) Referral - Texas

What Is Form H0064?

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 H0064?
A: Form H0064 is a referral form for the State Kids Insurance Program (SKIP) in Texas.

Q: What is the State Kids Insurance Program (SKIP)?
A: The State Kids Insurance Program (SKIP) is a program in Texas that provides health insurance for children from low-income families.

Q: Do I need to fill out Form H0064 for SKIP?
A: If you want to apply for the State Kids Insurance Program (SKIP) in Texas, you may need to fill out Form H0064 as a referral form.

Q: What information is required on Form H0064?
A: Form H0064 will require you to provide personal information about yourself and your child, as well as information about your income and household.

Q: Who is eligible for the State Kids Insurance Program (SKIP)?
A: Children from low-income families in Texas may be eligible for the State Kids Insurance Program (SKIP). Eligibility is based on income and other factors.

Q: How long does it take to get enrolled in SKIP?
A: The time it takes to get enrolled in the State Kids Insurance Program (SKIP) can vary. It is best to contact your local Texas Health and Human Services Commission office for more information.

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Form Details:

  • Released on June 1, 2010;
  • 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 printable version of Form H0064 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form H0064 State Kids Insurance Program (Skip) Referral - Texas

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