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Effective Date:
7/2005Documents
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Document
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Document
Instructions
Updated: 10/2005
Purpose
To verify SSI eligibility for the month of the move when an SSI client moves to Texas and needs Medicaid services during that month.
Procedure
When to Prepare
Prepare Form H1300 when SSI eligibility must be verified for the month of the SSI client's move to Texas.
Number of Copies
Prepare an original.
Transmittal
Give the Form H1300 to the client to take to the Social Security office for completion.
Form Retention
Keep the form according to retention requirements of the case record.
Detailed Instructions
Complete the self-explanatory client identification information. Obtain the client's signature in the "Client Statement" section. Be sure to include the office return address.