Form H1207-A Notification of Eligibility Special Medicaid Program (State Facilities) - Texas (English / Spanish)

Form H1207-A Notification of Eligibility Special Medicaid Program (State Facilities) - Texas (English / Spanish)

What Is Form H1207-A?

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 H1207-A?
A: Form H1207-A is a notification form for the Special Medicaid Program (State Facilities) in Texas.

Q: What is the Special Medicaid Program (State Facilities)?
A: The Special Medicaid Program (State Facilities) is a program in Texas that provides Medicaid coverage for individuals receiving care in state facilities.

Q: Who is eligible for the Special Medicaid Program (State Facilities)?
A: Individuals who are receiving care in state facilities in Texas may be eligible for the Special Medicaid Program.

Q: What is the purpose of Form H1207-A?
A: The purpose of Form H1207-A is to notify individuals of their eligibility for the Special Medicaid Program (State Facilities) in Texas.

Q: Is Form H1207-A available in both English and Spanish?
A: Yes, Form H1207-A is available in both English and Spanish.

Q: Do I need to fill out Form H1207-A if I am already receiving Medicaid?
A: If you are already receiving Medicaid and are admitted to a state facility in Texas, you may need to fill out Form H1207-A to determine your eligibility for the Special Medicaid Program (State Facilities).

Q: Do I need to submit Form H1207-A every time I receive care in a state facility?
A: It depends on the specific requirements of the state facility and the Special Medicaid Program. It is best to contact the facility or refer to the program guidelines for further information.

Q: Can I apply for the Special Medicaid Program (State Facilities) if I do not live in Texas?
A: No, the Special Medicaid Program (State Facilities) is only available for individuals receiving care in state facilities in Texas.

Q: What benefits does the Special Medicaid Program (State Facilities) provide?
A: The Special Medicaid Program (State Facilities) provides comprehensive Medicaid coverage for individuals receiving care in state facilities, including medical services, nursing care, and prescription drugs.

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Form Details:

  • Released on December 1, 2006;
  • 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 H1207-A by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form H1207-A Notification of Eligibility Special Medicaid Program (State Facilities) - Texas (English / Spanish)

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