An official State of Texas website.
Revision 24-4; Effective Dec. 1, 2024
A recipient, authorized representative or someone acting responsibly for the recipient if the recipient is incompetent or incapacitated, may sign a redetermination form. The redetermination form must be signed under the penalty of perjury statement. If the recipient has a legal guardian, the guardian must sign the redetermination form. Refer to related policy on Who May Sign an Application for Assistance.
Redetermination forms can be submitted through any of the following channels:
- online through YourTexasBenefits.com;
- in the local office;
- by mail, fax or phone.
Note: A person who may complete or sign a redetermination form might not be on the list of people HHSC can release the recipient’s individually identifiable health information to. Refer to related policy on Personal Representatives for people who may receive or authorize the release of a recipient’s individually identifiable health information under HIPAA privacy regulations.
Related Policy
Who May Sign an Application for Assistance, B-3220
Valid Signatures, B-3221
Personal Representatives, C-5000