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Get Texas Medicaid Application

Yes, you must ll out this form. NEED HELP WITH YOUR APPLICATION? We can help you at no cost to you. Call us at 2-1-1 or 1-877-541-7905 (after you pick a language, press 2). If you have a hearing or speech disability, call 7-1-1 or any relay service. Section 1 Your Tax Return This form needs to be lled out, signed, and sent back with your application for bene ts. Each person listed in Section H of the Your Texas Bene ts application needs to answer the questions below (Section 1). T.

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