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Availability. English PDF: Form H1200. Spanish PDF: Form H1200-S. Instructions. English and Spanish forms can be found under the title "Form to apply for Medicaid for the Elderly and People with Disabilities or Medicare Savings Program" under section "Forms to apply for benefits".
Forms. The purpose of this section is to make the most current forms available with a single resource. Forms are used to collect information and remain in the handbook until the form is no longer necessary. ES = Spanish version available.
Medicaid for the Elderly and People with Disabilities Handbook. Left Menu. Search this Handbook. Chapter A, General Information and MEPD Groups. Chapter B, Applications and Redeterminations. Chapter C, Rights and Responsibilities. Chapter D, Non-Financial. Chapter E, General Income.
You must apply for Medicare through a different agency - the Social Security Administration. To learn more, visit www.Medicare.gov or call 1-800-633-4227. Medicaid Buy-In Program. To ask for these forms, call 2-1-1 or 1-877-541-7905. Helps people who work and: (a) have a disability or (b) are age 65 or older.
1 wrz 2021 · Texas Medicaid Refund Information Form (68.92 KB) 9/1/2021. Community Waiver Programs.
Download and print the forms you need or ask us to mail them to you. All paper forms available. Forms to apply for benefits. Forms to give proof for benefits. Other forms. Forms you want mailed. Send All By Mail.
Applying for a job. • Finding a job. Call 2-1-1 to find a Texas Workforce Center. Family Planning . Do you need help with family planning? Men and women can get help with: • Birth control supplies. • Other health care. Call 2-1-1 to find a clinic. Women age 15 to 44 who can’t get Medicaid or CHIP might be able to get services in the ...
