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Purpose. To provide TANF, food stamp, and Medicaid clients with a list of acceptable sources of verification required to determine eligibility.
Go to YourTexasBenefits.com. Call 2-1-1 (if you can't connect, call 1-877-541-7905). After you pick a language, press 2 to: \u2013 Ask questions about this form.
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.
Purpose. To serve as an application and recertification form for Medicare cost-sharing programs and Medicaid community-based programs, except waiver programs. (Form H1200-EZ is an optional alternative to Form H1200 and Form H1200-A for these programs.)
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