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Medical Expenses - Medical bills, receipts or statements from the provider. Insurance Policies - Copies of life and burial policies; statements from the insurance provider showing the current value. Rent/Mortgage - Copies of checks or check stubs, statement from mortgage lender or landlord.

Purpose. To provide TANF, food stamp, and Medicaid clients with a list of acceptable sources of verification required to determine eligibility.

Entities complete Form 3684 to apply for enrollment in Texas Medicaid and existing providers to re-enroll in Texas Medicaid.

Form 1024 is used to document the waiver benefits that result in an Individual Service Plan (ISP) or Individual Plan of Care (IPC) exceeding the assigned cost ceiling and to establish the medical need and rationale for these items or services.

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.

What is HCS? HCS is a Medicaid waiver program that supplies services and supports to Texans with an intellectual disability (ID) or a related condition so that they can live in the community.