Get Form H1300

Filling out the Form H1300 is an essential step for individuals who have recently moved to Texas and are applying for Medicaid benefits. This guide will walk you through each section of the form to ensure you complete it accurately and efficiently.

Follow the steps to properly complete the Form H1300 online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Begin by entering the client’s name in the designated field, ensuring that it matches the Social Security records.
3. Next, input the client's Social Security number in the appropriate area on the form.
4. Fill in the street address, city, state, and ZIP code where the client currently resides.
5. Specify the county of residence by selecting or typing it into the corresponding field.
6. Provide the telephone number, including the area code, for easy communication if needed.
7. In the client statement section, indicate the date of the move to Texas and ensure to sign the declaration as the client.
8. For the section to be completed by the Social Security Administration, ensure the month and year of the client's move are accurate.
9. Confirm the eligibility status for the SSI payment by checking 'WAS' or 'WAS NOT' eligible for that month.
10. Have the Social Security Administration sign and complete their section, including their name, title, and contact number.
11. Once all fields are filled out, you can save your changes, download, print, or share the completed form as needed.

Complete your Form H1300 online today to ensure timely processing of your Medicaid benefits.