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 Form H1836-A?
A: Form H1836-A is a Medical Release/Physician's Statement form used in Texas.
Q: What is the purpose of Form H1836-A?
A: Form H1836-A is used to request medical information from a physician or healthcare provider for determining eligibility for benefits in Texas.
Q: Who needs to fill out Form H1836-A?
A: Form H1836-A needs to be filled out by the applicant or their authorized representative.
Q: What information is required on Form H1836-A?
A: Form H1836-A requires basic information about the applicant, such as their name, contact information, and Medicaid ID.
Q: Is there a fee to submit Form H1836-A?
A: No, there is no fee to submit Form H1836-A.
Q: How long does it take to process Form H1836-A?
A: Processing times can vary, but it typically takes a few weeks to process Form H1836-A.
Q: Can I track the status of my Form H1836-A?
A: Yes, you can track the status of your Form H1836-A by contacting your local benefits office.
Form Details:
Download a fillable version of Form H1836-A by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.