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Get Tx Form H1826 2021-2026

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How to fill out the TX Form H1826 online

Filling out the TX Form H1826 online is essential for authorizing the release of information from your case records. This guide provides clear, step-by-step instructions to help you complete the form accurately and confidently.

Follow the steps to complete the form effectively.

  1. Click the ‘Get Form’ button to obtain the TX Form H1826 and open it in the editor.
  2. Enter the case information by providing the case name and case number in the designated fields.
  3. In the authorization section, indicate the individual or agency to whom you are allowing HHSC to release your information.
  4. Select the information type you wish to release by checking one of the options provided, such as current status of benefits or all information used to determine eligibility.
  5. Specify the purpose for the release of information, for example, treatment, insurance, or disability determination.
  6. Indicate the expiration parameters for the authorization by checking one option and filling out the required information, such as a date or event.
  7. Review the statement of understanding carefully and sign the form to authorize the release of information.
  8. If applicable, ensure that any witnesses sign the form and date their signatures in the provided sections.
  9. Once completed, save your changes, then download, print, or share the form as needed.

Begin completing the TX Form H1826 online today to manage your information effortlessly.

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The best way to report changes is online at Your Texas Benefits or on the Your Texas Benefits mobile app. You can also submit information by mail or fax, by calling 2-1-1 and choosing Option 2 after picking a language, or by going to your local eligibility office or a community partner.

To make a complaint via phone against nursing homes, assisted living facilities, intermediate care facilities, state supported living centers, home health, hospice, personal assistance agencies, prescribed pediatric extended care centers and day activity and health services, call toll-free 800-458-9858.

They can help resolve problems with your Medicaid coverage. To submit a complaint to the HHS Ombudsman, you can: Fill out this online form. Call 866-566-8989 8 a.m. to 5 p.m. Central Time, Monday through Friday and speak to someone that day.

H1826, Case Information Release—Completing this form allows HHSC to release information regarding the client's Medicaid case record. The client's Legally Authorized Representative (LAR) and/or Medical Consenter is responsible for completing and submitting all applicable Medicaid forms.

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