Texas Correction Form Application For Health Care Services
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To provide Texas Health and Human Services Commission (HHSC) office staff a form to record information reported by clients about changes in their circumstances. To advise the individual that the advisor can explain what type of proof is required for a reported change.
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.
By calling or visiting a local Texas Health and Human Services Commission (HHSC) benefits office; in writing, by mail or fax; by completing Form H1019, Report of Change, and mailing or faxing the form to a local HHSC benefits office; or. by calling 2-1-1.
Form 5024, HIPP Change of Address.