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Home > Central Health Library > Documents

Documents

August 3, 2023

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Documents

Created OnAugust 3, 2023
Last Updated OnAugust 3, 2023
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APPLICANT RESPONSIBILITIES

  • Applicant Responsibilities

PROOF THAT YOU LIVE IN TRAVIS COUNTY.

Examples include:

  • Current Texas driver’s license
  • Utility, Cable, Medical bill printed in the last 30 days.
  • Mail postmarked in the last 30 days

PROOF OF YOUR HOUSEHOLD’S INCOME RECEIVED IN THE LAST 30 DAYS.

Examples include:

  • Check stubs
  • Retirement or Social Security benefits letter
  • Unemployment benefits letter
  • Self-Employment Statement
  • MAP’s Residence and/or Financial Support Statement
  • Zero Income Statement
  • Income with no taxes deducted

ANY PROOF OF U.S. CITIZENSHIP OR RESIDENCY FOR YOUR HOUSEHOLD MEMBERS (INDIVIDUALS WITHOUT LEGAL RESIDENCY STATUS CAN SELF-DECLARE THEIR STATUS).

Examples include:

  • Birth certificate
  • Legal Permanent Resident Card
  • Passport
  • Other USCIS documents

PICTURE ID FOR ALL ADULTS IN YOUR HOUSEHOLD.

Examples include:

  • State-issued driver’s license
  • Foreign ID
  • USCIS document
  • Passport

PROOF YOU ARE THE PARENT OR LEGAL GUARDIAN OF ALL CHILDREN IN YOUR HOUSEHOLD.

Examples include:

  • Birth certificate
  • Adoption papers
  • Legal guardianship papers
  • Court documents

PROOF OF ANY OTHER HEALTH CARE BENEFITS FOR WHICH YOU HAVE BEEN APPROVED, BEEN DENIED, OR HAVE A PENDING APPLICATION.

Examples include:

  • Medicaid enrollment verification letter
  • Medicare card
  • Private insurance card
  • Denial letter for Medicaid or CHIP
  • Letter from Social Security Administration indicating pending application
  • Letter indicating pending application for TANF / Medicaid

OTHER FORMS AND INFORMATION

  • Central Health Authorization Form

 

Submit additional proof documents online

Table of Contents

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Notice: The Travis County Healthcare District d/b/a Central Health adopted a tax rate that will raise more taxes for maintenance and operations than last year’s tax rate. The tax rate will effectively be raised by 6.0 percent and will raise taxes for maintenance and operations on a $100,000 home by approximately $6.18 (six dollars and eighteen cents).

Questions about MAP or MAP Basic:

512-978-8130

CommUnityCare:

512-978-9015

Sendero Health Plans:

877-800-5722

Join Our Team

Submit a Public Information Request

1111 East Cesar Chavez St.
Austin, TX 78702
512-978-8000

Copyright © 2023 Central Health. All rights reserved.

NOTICE: THE TRAVIS COUNTY HEALTHCARE DISTRICT D/B/A CENTRAL HEALTH ADOPTED A TAX RATE THAT WILL RAISE MORE TAXES FOR MAINTENANCE AND OPERATIONS THAN LAST YEAR’S TAX RATE. THE TAX RATE WILL EFFECTIVELY BE RAISED BY 6.0 PERCENT AND WILL RAISE TAXES FOR MAINTENANCE AND OPERATIONS ON A $100,000 HOME BY APPROXIMATELY $6.18 (SIX DOLLARS AND EIGHTTEEN CENTS).

Copyright © 2022 Central Health. All Rights Reserved.