Medicaid Report Informe de Medicaid - dads state tx 2026

1. Click ‘Get Form’ to open the Medicaid Report in the editor.
2. Begin by entering your gross earnings and child care costs for each month listed on page 2. Ensure accuracy as this information is crucial for continued eligibility.
3. If you receive multiple payments in a month, sum these amounts before deductions and enter the total in the 'Gross Earnings' box. If there were no earnings, simply enter '0'.
4. For any month where you report '0' earnings, provide an explanation on the form (e.g., illness or job loss). If space is limited, reach out to your caseworker for assistance.
5. Calculate your total child care costs for each month and enter this amount in the 'Child Care Costs' box. Do not include any state-paid amounts; if no payment was made, enter '0'.
6. If there have been changes in your household or employment status, ensure to return this form within ten days of receipt to maintain your benefits.

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