Form h1003 2025

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The document is a policy bulletin from Lynn W. Blackmore, Associate Commissioner of Family Services, regarding the introduction of Form H1003 for appointing an Authorized Representative (AR) in the MEPD program. It replaces Form H1826 and outlines the use of the new form, which allows individuals or organizations to assist clients in Medicaid applications and determinations. The bulletin specifies that signatures from both the client and AR are required, and clarifies that family or friends do not need to complete this form for representation.

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What is H1003 form?

Form H1003, Appointment of an Authorized Representative | Texas Health and Human Services.

Who is the authorized representative?

An authorized representative is an individual authorized under State or other applicable law to act on behalf of a beneficiary or other party involved in the appeal. Authorized representatives have all of the rights and responsibilities of a beneficiary or party, as applicable, throughout the appeals process.

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