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 H2065-D?
A: Form H2065-D is the Notification of Managed Care Program Services form used in Texas.
Q: What is the purpose of Form H2065-D?
A: The purpose of Form H2065-D is to inform individuals about their enrollment in a managed care program in Texas.
Q: Who uses Form H2065-D?
A: Form H2065-D is used by the Texas Health and Human Services Commission (HHSC) to notify individuals about their enrollment in a managed care program.
Q: What information is included in Form H2065-D?
A: Form H2065-D includes information such as the name of the managed care organization, assigned primary care provider, and the effective date of enrollment.
Q: How is Form H2065-D delivered to individuals?
A: Form H2065-D is typically mailed to the individual's address on file with the HHSC.
Q: What should individuals do upon receiving Form H2065-D?
A: Upon receiving Form H2065-D, individuals should review the information provided and contact the HHSC or the managed care organization if they have any questions or need to make changes to their enrollment.
Q: Are individuals required to enroll in a managed care program?
A: Yes, most individuals who receive Medicaid in Texas are required to enroll in a managed care program, unless they have an exemption.
Q: How can individuals opt out of a managed care program?
A: Individuals can request an exemption from the managed care program by contacting the HHSC or their local benefits office.
Form Details:
Download a fillable version of Form H2065-D by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.