Health Insurance Program for Children (CHIP) Forms and Office Locations – Government Agency in Harris County, TX

1 - 20 of 22 forms

Form Title	Topics
All-State Medicaid & CHIP Call
Blank Forms CMS-37
CHIP Eligibility Letter - Medicaid
Coverage Learning Collaborative - Medicaid
MBES CBES Category of Service Line Definitions for the 21 form
Medicaid and CHIP Managed Care Final Rule (CMS-2390-F)
Medicaid/CHIP Eligibility Appeals
Quarterly Children's Health Insurance Program Statement of Expenditures for Title XXI Summary Sheet
Questions included in the Request for Information: Access to Coverage and Care in Medicaid & CHIP February 2022
Table of Contents State/f erritory Name: New Jersey State Plan Amendment (SPA)#: 22-0005
Table of Contents State/Territory Name: CT State Plan Amendment (SPA) #: 22-0007
Table of Contents State/Territory Name: Indiana State Plan Amendment (SPA) #: 21-0004
Table of Contents State/Territory Name: Indiana State Plan Amendment (SPA) #: 22-0002
Table of Contents State/Territory Name: Louisiana State Plan Amendment (SPA) #: 22-0012
Table of Contents State/Territory Name: Massachusetts State Plan Amendment (SPA) #: 22-0007
Table of Contents State/Territory Name: ME State Plan Amendment (SPA): ME-22-0017
Table of Contents State/Territory Name: Montana
Table of Contents State/Territory Name: New Jersey State Plan Amendment (SPA) #: 22-0006
Table of Contents State/Territory Name: Oklahoma State Plan Amendment (SPA) #: 22-0016
Table of Contents State/Territory Name: Pennsylvania State Plan Amendment (SPA) #: 22-0011

1 contact point

Address:
7500 Security Boulevard
Baltimore, MD 21244-1850

Phone numbers:

Emails: