Search results with tag "Texas health"
AUTHORIZATION TO DISCLOSE PROTECTED HEALTH …
eforms.comDeveloped for Texas Health & Safety Code § 181.154(d) effective June 2013 Please read this entire form before signing and complete all the sections that apply to your decisions relating to the disclosure of protected health information. Covered entities as that term is defined by HIPAA and Texas Health & Safety Code § 181.001 must
Your Texas Benefits: Getting Started
www.yourtexasbenefits.comHealth Insurance Premium Payment Program (HIPP) Do you need help paying for your health insurance? Call 1-800-440-0493. Or write: Texas Health and Human Services Commission TMHP-HIPP, PO Box 201120 Austin, Texas 78720-1120 . Important Information for Former Military Service Members . Women and men who served in any branch of the United States
YTBC Medicaid Providers Initial Registration Guide
www.yourtexasbenefitscard.comMedicaid Providers Initial Registration Guide Table of Contents Texas Health and Human Services Page 2 of 22 YTBC Medicaid Providers Initial Registration Guide
Texas Department of Human Services
www.gcworkforce.orgDate Caseworker Name and address Office Address and Telephone No. FAX: Employee/Household Member Social Security No. This individual is a member of a household applying for assistance from the Texas Health and Human Services Commission or