Form H1113 Application for Prior Medicaid Coverage - Texas

What Is Form H1113?

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 H1113?
A: Form H1113 is the application for prior Medicaid coverage in Texas.

Q: Who can use Form H1113?
A: Individuals who want to apply for prior Medicaid coverage in Texas can use Form H1113.

Q: What is prior Medicaid coverage?
A: Prior Medicaid coverage refers to coverage that is retroactive for up to three months prior to the month of application.

Q: What information is required on Form H1113?
A: Form H1113 requires information about your household, income, resources, and other details necessary to determine eligibility for prior Medicaid coverage.

Q: Is there a deadline for submitting Form H1113?
A: Yes, Form H1113 should be submitted within 90 days of the date services were received or within the month following denial of other healthcare coverage.

Q: What happens after I submit Form H1113?
A: After submitting Form H1113, your eligibility for prior Medicaid coverage will be determined and you will be notified of the decision.

Q: Can I apply for Medicaid coverage for the current month using Form H1113?
A: No, Form H1113 is specifically for prior Medicaid coverage and cannot be used to apply for coverage for the current month.

Q: Who can I contact for assistance with Form H1113?
A: You can contact your local Health and Human Services Commission office or the Texas Medicaid & Healthcare Partnership for assistance with Form H1113.