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 H1746-A?
A: Form H1746-A is the Medicaid for the Elderly and People With Disabilities (MEPD) Referral Cover Sheet in Texas.
Q: Who is this form for?
A: This form is for individuals who are applying for Medicaid for the Elderly and People With Disabilities in Texas.
Q: What is the purpose of Form H1746-A?
A: The purpose of this form is to serve as a cover sheet when submitting an application for Medicaid for the Elderly and People With Disabilities in Texas.
Form Details:
Download a fillable version of Form H1746-A by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.