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  • Tx Form 3071 2012

Get Tx Form 3071 2012-2025

Texas Department of Aging and Disability Services Form 3071 May 2012-E Texas Medicaid Hospice Program Individual Election/Cancellation/Update 1. Form Type 2. Cancel Code 1 Election 2 Update 3 Correction.

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If you don't have a health plan and need help, call the Medicaid Helpline 800-335-8957.

Use Form 3071 to notify the Texas Health and Human Service Commission (HHSC) of an individual's election or cancellation of the Texas Medicaid Hospice Program, to make updates to a previously submitted Form 3071 and to notify HHSC of updates to the person's setting, location or status.

Customer Service Medicaid client hotline. 800-252-8263. CHIP call center. 877-543-7669 or 800-647-6558. CHIP processing center. Texas Health and Human Services. P. O. Box 149024. Austin, TX 78714-9024. MDCP/DBMD Escalation Line. 844-999-9543.

Agency Details Website: Centers for Medicare and Medicaid Services (CMS) Contact: Contact the Centers for Medicare and Medicaid Services (CMS) Local Offices: Contact State Medicaid Offices. Toll Free: 1-800-633-4227. ... TTY: 1-877-486-2048. Forms: Centers for Medicare and Medicaid Services Forms.

Most people who have Medicaid in Texas get their coverage through the STAR managed care program. STAR covers low-income children, pregnant women and families. STAR members get their services through health plans they choose.

Call toll-free at 800-252-8263, 2-1-1 or 877-541-7905. Choose English or Spanish. Choose option 2. The person you speak with can help you find out if you have Medicaid or not.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232