Children's Health Insurance Program (CHIP)

Harris County, TX

Official Website: https://www.medicaid.gov/chip/index.html

Forms & Documents

Browse all Children's Health Insurance Program (CHIP) government forms

All 17 forms

Form Title Topics
CIB: Additional EVV Guidance – August 2019
CIB: Cures Act for Electronic Visit Verification - May 16, 2018
Department of Health and Human Services Centers for Medicare & Medicaid Services
Department of Health and Human Services Centers for Medicare & Medicaid Services Form CMS 64 Summary - Quarterly Medicaid Statement of Expenditures For the Medical Assistance Program Summary Sheet
DEPARTMENT OF HEALTH & HUMAN SERVICES DEPARTMENT OF AGRICULTURE September 21, 2000
Draft Model Renewal Form and Considerations for MAGI Medicaid/CHIP Renevals
EVV Requirements in the 21st Century Cures Act: NASUAD Conference Workshop - August 2018
EVV Requirements in the 21st Century Cures Act: NASUAD Pre-Conference Intensive - August 2018
EVV Update– August 2018
FAQs: Cures Act for Electronic Visit Verification - May 16, 2018
It is time to renew your Medicaid coverage
Line - Form Display Line - Definition
NATIONAL AVERAGE DRUG ACQUISITION COST (NADAC) REQUEST FOR MEDICAID REIMBURSEMENT REVIEW
Request Electronic Visit Verification Technical Assistance
Requests from States for Good Faith Effort Exemptions- May 2019
Section 12006 of the 21st Century CURES Act Electronic Visit Verification Systems - Session 1: Requirements, Implementation, Considerations, and State Survey Results – December 2017
Section 12006 of the 21st Century CURES Act Electronic Visit Verification Systems Session 2: Promising Practices for States Using EVV – January 2018

Contact Information & Office Locations

1 contact point

Centers for Medicare and Medicaid Services

Address:
7500 Security Boulevard
Baltimore, MD 21244

Phone numbers:
  • (877) 267-2323 (toll free)
  • (410) 786-3000 (local)
  • (800) 877-8339 (TTY)
  • (410) 786-0727 (tyy)
Emails:
  • Medicaid.gov@cms.hhs.gov

Have Questions About This Agency?
Ask An Expert For Help:

Questions and comments are moderated. Minimum of 10 characters.

All questions and comments are moderated and publicly viewable. Please do not post private or sensitive information such as names, addresses, phone numbers, emails, confidential financial and legal details.

Login or sign up to submit questions