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The completed and signed Form 3031, and completed and signed Form 3034, CSHCN Physician/Dental Assessment, and any necessary documents should be submitted to a CSHCN regional office. Regional office locations and phone numbers are listed on the form. Detailed Instructions . Complete all sections of Form 3031.
How Do I Apply? A social worker can help you with the application process at a public health office near you. To find an office nearby, check the Public Health Regions list and visit your region’s website for a list of local offices. The following must be submitted: Form 3031, CSHCN Services Program Application
May 7, 2020 · The program covers items such as, special equipment for your child as well as financial help for any special childcare needs. Case management services are also provided. Benefits do not include services covered by Medicaid, CHIP, or private insurance. Applicants must reapply every 6 months, before coverage expires.
Pub. No. E07-12357. Welcome to the Children with Special Health Care Needs (CSHCN) Services Program. This is your CSHCN Services Program Client Guide. Inside, you will find important information about your new benefits and answers to many of your questions. You’re receiving this guide because you’ve been approved to be in the CSHCN Services ...
Form 3031. Tell us about the person who needs our help. Use the name as it appears on the proof of birth document. Date of Texas Residency (if you were born in Texas, use your date of birth). Otherwise, use the first day of the month you located to Texas: Proof of birth date. First-time applicants, send us one of the following: Birth ...
Choose the location on your computer where you would like to save the file. Select “Save”. Use Windows Explorer to get to the location where you saved the file. Right click on the PDF file. Select “Open with”. Select “Choose program”. Select “Adobe Acrobat Reader”. Make sure to check the box that says “Always use this program ...
Mar 1, 2023 · Download Fillable Form 3031 In Pdf - The Latest Version Applicable For 2024. Fill Out The Children With Special Health Care Needs (cshcn) Program Application - Texas Online And Print It Out For Free. Form 3031 Is Often Used In Children With Special Health Care Needs, Texas Health And Human Services, Texas Legal Forms, Legal And United States Legal Forms.
