D-1330, Correspondence Processing

Revision 15-4; Effective October 1, 2015

CHIP, CHIP Perinatal

CHIP correspondence refers to written documents or a request for review from a household or applicant for enrollment into CHIP. Correspondence may be submitted online at YourTexasBenefits.com, by fax, or through the mail. Uploaded, faxed, or hard copy correspondence documents are linked with the appropriate case. Types of correspondence may include:

• provider claims;
• plan transfer form or letter;
• letter requesting address or name change;
• missing information requested by CHIP through application processing;
• requests for disenrollment;
• enrollment requests;
• request for review of an eligibility or enrollment decision; and
• cost share updates.