An official State of Texas website.
Revision 13-4; Effective October 1, 2013
CHIP, CHIP Perinatal
Form TF0001, Notice of Case Action, advises the household of the:
- potential household eligibility and who is potentially eligible;
- need for the household to return a health plan selection and enrollment fee, if required;
- reason the application was denied, terminated or reinstated;
- effective date of the denial, termination or reinstatement; and
- right to request a review.