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.
Q: What is the Form H1551?
A: The Form H1551 is the Treatment Verification Form for Medicaid for Breast and Cervical Cancer in Texas.
Q: Who is eligible for Medicaid for Breast and Cervical Cancer in Texas?
A: Women diagnosed with breast or cervical cancer who meet certain income and residency requirements are eligible for Medicaid for Breast and Cervical Cancer in Texas.
Q: What is the purpose of the Form H1551?
A: The purpose of the Form H1551 is to verify the treatment received by a patient diagnosed with breast or cervical cancer.
Q: What information is required on the Form H1551?
A: The Form H1551 requires information such as the patient's name, social security number, diagnosis, treatment dates, and provider information.
Q: What happens after submitting the Form H1551?
A: After submitting the Form H1551, it will be reviewed by the eligibility office to determine if the treatment received qualifies for Medicaid coverage.
Q: Can I appeal if my Form H1551 is denied?
A: Yes, you have the right to appeal if your Form H1551 is denied. You will receive a notice explaining the denial and the steps to take for an appeal.
Q: Is there a deadline for submitting the Form H1551?
A: Yes, the Form H1551 must be submitted within 180 days from the date of diagnosis.
Q: Are there any fees associated with applying for Medicaid for Breast and Cervical Cancer?
A: No, there are no fees associated with applying for Medicaid for Breast and Cervical Cancer in Texas.
Form Details:
Download a fillable version of Form H1551 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.