Hhsc forms 2026

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The document is an Assurance of Compliance from the Department of Health and Human Services, affirming that the Applicant will adhere to various civil rights laws, including Title VI of the Civil Rights Act, Section 504 of the Rehabilitation Act, Title IX of the Education Amendments, the Age Discrimination Act, and Section 1557 of the Affordable Care Act. It ensures that no individual will face discrimination based on race, color, national origin, sex, age, or disability in programs receiving federal financial assistance. Compliance is mandatory for continued funding.

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Click ‘Get Form’ to open the hhsc form in the editor.
Begin by filling out the 'Name of Agency Receiving/Requesting Funding' section. Ensure that you provide the full legal name of your organization.
Next, complete the 'Street Address', 'City, State, Zip Code' fields accurately to ensure proper correspondence.
In the 'Authorized Official' section, print or type the name and title of the individual who is authorized to sign on behalf of your agency.
Sign and date the form in the designated areas. This signature confirms your commitment to comply with all outlined regulations.
Finally, review all entries for accuracy before submitting. Use our platform's features to save and share your completed form easily.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (107 Votes)
2009	4 Satisfied (23 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the main purpose of the HHS?

The mission of the U.S. Department of Health and Human Services (HHS) is to enhance the health and well-being of all Americans, by providing for effective health and human services and by fostering sound, sustained advances in the sciences underlying medicine, public health, and social services.

What does Texas HHS do?

HHS oversees the operations of the health and human services system, provides administrative oversight of Texas health and human services programs, and provides direct administration of some programs. Programs Administered by HHSC: Medicaid. Childrens Health Insurance Program (CHIP)

How do I send documents to Texas Health and Human Services?

Uploading your files may help us review your case faster. Online: Click here to see instructions on how to upload documents online. You can also send us copies by: Fax: 1-877-447-2839 (toll-free). Write your Social Security number on each item. Mail: HHSC. P.O. Box 149027. Austin, TX 78714-0927.

How do I find my Texas benefits letters and forms?

When a notice is posted to your account, we will let you know by sending a text message or an email, depending on what you picked. To view the notices, log in to YourTexasBenefits.com and go to Letters and Forms. Not all notices will be on YourTexasBenefits.com. You may still get some in the mail.

What is the difference between HHS and HHSC?

Texas Health and Human Services and its HHS acronym represent the Texas Health and Human Services Commission (HHSC) alone, and the Texas Department of State Health Services (DSHS) and HHSC jointly. This guide is to be used by vendors who contract with HHS. The guide also provides HHS staff insight into the HHS brand.

form h1854

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Why would Texas Health and Human Services send me a letter?

Well send you a letter when its time to renew your benefits. If you need to sign a renewal form you can: Sign it electronically on Your Texas Benefits. Call 2-1-1 to have a paper form mailed to you.

What is the form H1019 for Texas HHSC?

Purpose. To provide clients a form that lists their reporting requirements. To provide clients a form to report changes in their circumstances. To provide Texas Health and Human Services Commission (HHSC) office staff a form to record information reported by clients about changes in their circumstances.