Form h0050 2025

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Fill out Form H1854, Affidavit for Unauthorized Use of Electronic Benefit Transfer Benefits. Important details: You have 30 calendar days from the discovery of the theft to submit this form. Make sure to fill out all details, including dates, amounts, and retailer/location for each fraudulent transaction.
The form DCO-115, Absent Parent Information, will be completed for entry to WAPU (Absent Parent Information Screen) for each Medicaid eligible chiId who has an absent parent or when 1 egal paternity must be established.
Form H0050, Parent Profile Questionnaire, information is required for each absent parent. The absent parent information may be obtained verbally and entered into the Absent Parent page.
Form H1869, Renewal for Health Care Benefits | Texas Health and Human Services.
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