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Form 7484 May 2024Hospital Report for Newborn Child or Children Date Recd in Integrity Control:This form is for Hospital use only. Hospitals will use this form to report the birth of a child of a
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Obtain a copy of HHSC form 7484 from the relevant agency or organization.
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Who needs hhsc form 7484?

01
Individuals who are applying for assistance or benefits from the Texas Health and Human Services Commission (HHSC) may need to fill out form 7484. This form is typically required for various programs and services offered by HHSC, such as Medicaid, CHIP, SNAP, TANF, and others.
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HHSC Form 7484 is a document used for reporting specific information related to health and human services in Texas.
Entities or individuals that are involved in health and human services programs in Texas may be required to file HHSC Form 7484.
To fill out HHSC Form 7484, obtain the form from the Texas HHSC website, complete all required fields accurately, and submit it according to the guidelines specified.
The purpose of HHSC Form 7484 is to collect necessary data and information to ensure compliance with state regulations and to facilitate program evaluations.
The information required includes program-specific data, financial information, and any other details pertinent to health and human services operations.
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