C-8000, Responsibility to Provide Information and Report Changes

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Revision 25-4; Effective Dec. 1, 2025

Providing Information

When a person applies for Medicaid, HHSC asks for verification and any other information needed to make sure all the requirements for Medicaid are met. HHSC asks for information about income, resources and other eligibility requirements.

As a requirement of Medicaid, a person must provide HHSC MEPD staff with the necessary verification and information to determine Medicaid eligibility.

If HHSC sends an applicant or authorized representative (AR) a request for missing information, verification or both, the applicant or AR must provide the requested information to HHSC by the due date given in the request, or eligibility may be denied.

Reporting Changes

HHSC requires that the person or AR report certain events because they may affect eligibility or the amount of the co-payment for the cost of care.

Who, What, When and How of Reporting Changes

The person responsible for making required reports to HHSC include the:

eligible person;
eligible spouse;
eligible child; or
applicant waiting for a final determination on an application.

Notes

If the person has an AR and was not legally deemed incompetent, either the person or the AR must make the required reports.
If the person’s co-payment is impacted by either the community spouse or a dependent family member, the person, AR, community spouse or dependent family member is responsible for making required reports to HHSC.
If the person has a legal guardian and was legally deemed incompetent, the legal guardian is responsible for making required reports to HHSC.

What must be reported?

Events that must be reported include:

Change of address — Report any change in mailing address and any change in the address where the person, spouse or dependent family member lives.
Change in living arrangements — Report any change in the household including any person who comes to live in the household and any person who moves out of the household.
Change in income — Report any increase or decrease in income and any increase or decrease in the income of:
- the ineligible spouse who lives with the person;
- the community spouse or dependent family member;
- the parent, if the person is an eligible child and the parent lives with the eligible child; or
- an ineligible child who lives with the eligible child.
Change in resources — Report any resources received or transferred by the:
- person;
- ineligible spouse who lives with the person;
- community spouse or dependent family member; or
- parent, if the recipient is an eligible child and the parent lives with the eligible child.
Eligibility for other benefits — Report eligibility for benefits.
Certain deaths — the person or the person’s authorized representative must report the death of:
- the eligible spouse;
- the ineligible spouse who was living with the person; and
- any other person who was living in the household including a parent of an eligible child.
Change in marital status — Report the marriage, divorce or annulment of a marriage of an:
- eligible person;
- parent who lives with the eligible child;
- spouse or dependent family member
- ineligible child who lives with an eligible individual.
Medical improvements — If eligible for Medicaid because of disability or blindness, report any medical condition improvement.
Termination of U.S. residence — Report leaving the U.S. voluntarily with the intention of abandoning residence in the U.S. or leaving the U.S. involuntarily.
Leaving the U.S. temporarily — Report leaving the U.S. for 30 or more consecutive days or for a full calendar month without the intention of abandoning residence in the U.S.

Include in the Reports

When reporting changes in writing or verbally, include the following:

person’s name and Social Security number;
description of the event;
date it happened; and
reporter’s name.
Reports are due to HHSC: within 10 days of the change or event; or
when HHSC requests a report and provides a due date.