Get the up-to-date Texas Medicaid Hospice Program Individual Election/Cancellation/Update. Form 3017-2024 now

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To be eligible for hospice care, patients must have a diagnosis of a life-limiting illness or terminal disease with a life expectancy of six months or less as well as a desire for comfort care rather than curative care.
If you dont have a health plan and need help, call the Medicaid Helpline 800-335-8957.
Phone. For help or questions with your HHSC benefits case or YourTexasBenefits.com, call 2-1-1 or 1-877-541-7905.
Agency Details Website: Centers for Medicare and Medicaid Services (CMS) Contact: Contact the Centers for Medicare and Medicaid Services (CMS) Local Offices: Contact State Medicaid Offices. Toll Free: 1-800-633-4227. TTY: 1-877-486-2048. Forms: Centers for Medicare and Medicaid Services Forms.
Texas Medicaid does not cover adults in poverty without dependent children, unless they have a serious or permanent disability, are elders in poverty, or get temporary maternity coverage that ends 2 months after the birth.

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Phone. Call toll-free at 800-252-8263, 2-1-1 or 877-541-7905. Choose English or Spanish. Choose option 2.
Speak with your hospice doctor if you are interested in stopping. If you end your hospice care, you will be asked to sign a form that includes the date such care will end.
Hospice services are covered in full by Medicare, Medicaid, and most private insurance plans with little or no expense to the patient.
Purpose. Use Form 3071 to notify the Texas Health and Human Service Commission (HHSC) of an individuals election or cancellation of the Texas Medicaid Hospice Program, to make updates to a previously submitted Form 3071 and to notify HHSC of updates to the persons setting, location or status.
People eligible for full Medicaid benefits may elect to participate in the Texas Medicaid Hospice Program if they have a medical prognosis of six months or less to live.

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