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Medicaid change of information form

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The document provides instructions for completing a Change of Address Form for Mississippi Medicaid providers. It outlines the requirements for signatures, the necessity of submitting a W-9 form for 1099 address changes, and emphasizes that incomplete forms will be returned. Contact information for inquiries is also included.

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Versions	Form popularity	Fillable & printable
2010	4.9 Satisfied (46 Votes)

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Got questions?

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

How do I report changes to my Texas Medicaid?

How do I report changes? Go to YourTexasBenefits.com, log in to your account and find the case you want to make changes to. Select Details, then Open Change Report. Or use the Your Texas Benefits app to log in to your account and select the case you want to make changes to.

How do I change my address with Texas Medicaid?

You can change your address and phone number by visiting YourTexasBenefits.com . You can also make changes by phone. Call toll-free at 2-1-1 or 877-541-7905. Choose English or Spanish.

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

0:18 2:13 From the document. Center click upload a document to get started. Now enter a few details about theMoreFrom the document. Center click upload a document to get started. Now enter a few details about the document. This helps to process the document faster.

How do I confirm my identity on Your Texas Benefits?

To confirm your identity: Select Manage, and under Confirm your identity, select Confirm. You confirmed your identity, but you need to add your case to your account.

What is the fax number for HHSC Texas?

Return the form by To send this back to us, you can either: (a) give it to the employee listed above, (b) mail it in the pre-paid envelope, or (c) fax it to 1-877-447-2839.

What are the Texas Medicaid plans?

Your plan options STAR. STAR is Medicaid coverage for kids, newborns, pregnant women and some families. STAR Kids. STAR Kids is Medicaid coverage for kids and adults ages 20 or younger who have disabilities. CHIP and CHIP Perinatal.

Can I email Texas Health and Human Services?

For questions regarding: State or federal regulations or regulatory policy, call 512-438-3161 or email PolicyRulesTraining@hhsc.state.tx.us . Contracting to provide services and receive reimbursement, call 512-438-3234 or email IDDWaiverContractEnrollment@hhsc.state.tx.us .

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.

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