Form 1024, Individual Status Summary
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 Area — Enter the managed care service area the individual resides in. If the individual is not enro...
Source: texas.gov