Form H5024-MBIC Termination Notice (Medicaid Buy-In for Children) - Texas

What Is Form H5024-MBIC?

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 H5024-MBIC?
A: Form H5024-MBIC is a Termination Notice for the Medicaid Buy-In for Children program in Texas.

Q: What does the Medicaid Buy-In for Children program do?
A: The Medicaid Buy-In for Children program provides affordable health coverage for children with disabilities in Texas.

Q: Who should use Form H5024-MBIC?
A: Form H5024-MBIC should be used by individuals who need to terminate their coverage under the Medicaid Buy-In for Children program.

Q: What information is required on Form H5024-MBIC?
A: Form H5024-MBIC requires information about the individual's name, address, Medicaid ID number, and the reason for termination.

Q: What should I do after completing Form H5024-MBIC?
A: After completing Form H5024-MBIC, you should submit it to your local Medicaid office as soon as possible to terminate your coverage.

Q: Is there a deadline for submitting Form H5024-MBIC?
A: It's important to submit Form H5024-MBIC within the specified timeframe mentioned on the form to avoid any interruptions in coverage.

Q: What if I have questions or need assistance with Form H5024-MBIC?
A: If you have any questions or need assistance with Form H5024-MBIC, you can contact your local Medicaid office or Texas Health and Human Services for support.