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Get TX Form 3071 2023-2024
Form 3071 September 2014ETexas Medicaid Hospice ProgramIndividual Election/Cancellation/Update 1. Form Type2. Cancel Code1 Election2 Update3 Correction3. From (MMDDYYYY)4. To (MMDDYYYY)4 Cancel 6.
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Diagnoses FAQ
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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.
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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.
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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.
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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.
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If you don't have a health plan and need help, call the Medicaid Helpline 800-335-8957.
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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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