Form H1071 Family Violence Exemption for Medicaid and Chip - Texas

What Is Form H1071?

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 H1071?
A: Form H1071 is the Family Violence Exemption form for Medicaid and CHIP in Texas.

Q: What is the purpose of Form H1071?
A: The purpose of Form H1071 is to request an exemption from the Family Violence requirement for Medicaid and CHIP in Texas.

Q: Who is eligible to use Form H1071?
A: Individuals who are victims of family violence and are applying for Medicaid or CHIP in Texas are eligible to use Form H1071.

Q: What is the Family Violence requirement?
A: The Family Violence requirement is a provision that allows for an exemption from certain eligibility criteria for Medicaid and CHIP for individuals who are victims of family violence.

Q: Is there a deadline for submitting Form H1071?
A: There is no specific deadline for submitting Form H1071. It should be submitted as soon as possible after applying for Medicaid or CHIP.

Q: What documents do I need to submit with Form H1071?
A: You will need to provide documentation or a signed statement from a qualified professional that verifies your status as a victim of family violence.