Effective Date: 
3/2002

Documents

Instructions

Updated: 7/2002

PURPOSE

  • To explain what Texas Health Steps is and what services it provides.
  • To inform clients about the requirement to schedule a medical check-up for a child under age 19 who is new to Medicaid.
  • To give clients a toll-free number to call for assistance in scheduling a check-up.

PROCEDURE

When to Prepare

Mail one copy of the form with Form H1122 to the caretaker of a child under 19 after certification for Medicaid.

Number of Copies and Transmittal

Give one form to each applicant.

Form Retention

No retention requirements.

DETAILED INSTRUCTIONS

Form H1187 is self-explanatory.

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