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Get Tx Harris County Hospital District Renewal Application 2007-2025

RENEWAL APPLICATION General Information: Use this form when submitting a renewalPROTOCOL INFORMATION Protocol Number: Protocol Title:INVESTIGATOR INFORMATION Name:Credentials:Position Title:Department:Mailing.

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Harris Health Financial Assistance Program (Gold Card) Texas I.D. or drivers license stating the person lives in Harris County. Social Security Card. Citizenship(Passport or Birth Certificate) or Green Card. Proof of income (1 months check stubs) Any bills or bank statement (within 60 days) Income tax (if necessary)

The Harris Health System, previously called the Gold Card, helps people with low or no income get quality health care. If you are uninsured, the Harris Health System is a way for you to find affordable, sliding-scale healthcare.

The Gold Card is a financial assistance program by the Harris County Health System. It will help you cover some of the costs of hospital visits when you go to hospitals and clinics in the Harris Health System.

On Oct. 1, 2022, the initial preauthorization exemptions required by Texas House Bill 3459, also known as the “Texas gold card exemptions,” took effect. This law reduces prior authorization requirements helping members get the treatment they need when they need it.

In 2021, Texas passed a law that requires all health plans to review past prior authorization (PA) requests from providers to determine if they qualify for “Gold Card status.” Gold Card status means a provider must have 5 or more requests for a specific service (like those with specified CPT codes) within a six-month ...

Anyone is eligible regardless of age, income, or immigration status. You must be a Harris County resident.

The Harris Health System, previously called the Gold Card, helps people with low or no income get quality health care. If you are uninsured, the Harris Health System is a way for you to find affordable, sliding-scale healthcare.

Harris County Program Targets Most Needy Zip Codes for Financial Safety Net. The Uplift Harris pilot program, approved by the Harris County Commissioners on June 6, 2023, will provide supplemental income to thousands of families living 200% below the poverty line — approximately $60,000 for a family of four.

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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
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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:
+1 833 426 79 33
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