What if a client needs report change to her case?
When clients need to report a change to their WHP case, providers can assist clients with filling out and submitting Form H1019 – Report of Change: • Form H1019 – Report of Change • Form H1019-S – Report of Change in Spanish Form H1019 – Report of Change Instructions Case name – Enter the head of household name as it appears on the WHP Medicaid Identification card. Case number(s) – Enter the case number of the WHP client. Advisor name – Enter the name of the HHSC eligibility worker processing the case. If you do not know who the advisor is, leave this section blank. Changes— WHP client enters an explanation of the changes with the effective date and the duration of each change. Signature – Person Reporting Change— WHP recipient signs the form and enters the date signed. Signature – Representative Receiving Report of Change – The person who receives the information (HHSC staff) signs the form and enters the date of the report. Leave this section blank. Form H1019 can be faxed to HHSC at
Related Questions
- I currently use the MSD ChemStation and I have a need to create a special report specific to the needs of a client. What applications are compatible with the software?
- What if my consumer / client needs an explanation of their credit report, information within the report, or their scores, how does that work?
- What list of phone numbers should I have with me during a heavy duty cleanout in case my client needs emergency psychiatric care?
