Subject Form H1024 2025

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2016 4.7 Satisfied (37 Votes)
2002 4.4 Satisfied (41 Votes)
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Purpose. Use Form 1024: to document the items or services that result in an Individual Service Plan (ISP) or Individual Plan of Care (IPC) exceeding the assigned cost limit; to establish the medical need and rationale for these items or services; and.
Complete Form H1024 as part of the renewal process when a certified child has a Texas Health Steps overdue date or the case is flagged for noncompliance with the Health Care Orientation and the overdue date or noncompliance cannot be cleared with a telephone call.
Proof of income from your job One pay stub or paycheck from the last 60 days, a statement from your employer, or self-employment records. Medical costs Bills or statements from health-care providers (doctors, drug stores, etc.) from the past 3 months.
The following is relevant for Texas residents age 65 or older in 2024. The monthly income limit for a single applicant to be eligible for STAR+PLUS from Texas Medicaid is $2,829. Calculated annually, applicants must earn less than $33,948.
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.
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