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Form 100 IHCP
(click above for the pdf document)
Form 108 CIHCP
Program Application Update
The Texas Health and Human Services Commission is in the process of revising the program application form/s per Senate Bill 1677 and Texas Health and Human Services Commission Policy. This requires HHSC to include model language regarding additional benefits and services for eligible veterans. EFFECTIVE IMMEDIATELY WE ARE REQUIRED TO SHARE THE ATTACHED INFORMATION WITH APPLICANTS UNTIL HHSC GIVES US NOTICE TO BEGIN USING UPDATED APPLICATION FORM/S.
Please click here to view Additional Benefits and Services for Eligible Veterans.
* 101 West Main St. Mail Unit 14 Room B104 *
* Fredericksburg, TX 78624-3700 *
* Phone 830-990-7567 * Fax 830-992-2621 *
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