Client Assignment News Today

Medicaid No. — Enter the individual’s Medicaid number. CARE or Unique ID No. — If the individual is enrolled in HCS, enter the individual’s Client Assignment and Registration (CARE) Identification number; if CARE has transitioned out of use, enter the Unique ID number assigned to the individual by Texas Medicaid & Healthcare Partnership (TMHP). Enter N/A if no CARE or Unique ID number exists. Date of Birth — Enter the individual’s date of birth using the mm/dd/yyyy format. Service A...

Downloading a Form to Your Computer Fillable forms cannot be viewed on mobile or tablet devices. Follow the steps below to download and view the form on a desktop PC or Mac. Right Click for PC or Ctrl + Click for Mac on the PDF link and click “ Save link as” from the menu. Select the folder you want to save the file in and then click " Save." Right Click for PC or Ctrl + Click for Mac, then select " Note: Open the PDF file from your desktop or Adobe Acrobat Reader DC. Do not click on the...

Enter the legal name of the LIDDA completing the form. 2. LIDDA Component Code 3. LIDDA Mailing Address 80. Managed Care Organization (MCO) or Department of State Health Services (DSHS) Name Enter the name of the MCO chosen by the individual for CFC services or name of DSHS. 81. MCO Component Code Enter the component code associated with the MCO chosen by the individual for CFC services. If DSHS, leave this field blank. 82. Plan Code 4. Individual’s Name (Last/First/Middle) Enter the individu...