Texas HHS Form 2067, Case Information: How to Respond and Appeal

Texas HHS Form 2067, “Case Information,” is a note from your Health and Human Services Commission caseworker about your benefits case. It either shares information with you or asks you for something specific, and the checked boxes and the “Comments/Response” section on the form tell you which.1Texas Health and Human Services. Form 2067, Case Information If it asks for something, you send that thing back by the deadline tied to your program. If it’s purely informational, you may not need to do anything at all.

How to Read the Form You Received

Form 2067 is used across nearly every HHSC program, including SNAP, TANF, Medicaid, protective services, and community care for the aged and disabled.2Texas Health and Human Services. Form H2067, Case Information The caseworker checks one or more boxes to flag the topic. The ones you’re most likely to see:

  • Income or deductions — the agency wants updated proof of earnings, or is flagging a change it found.
  • Household composition — someone was added or removed and the caseworker needs confirmation.
  • Change in address or telephone.
  • Medical or disability — a determination or review is involved.
  • Employment services or child care.
  • MERP shared — a notice about the Medicaid Estate Recovery Program, which can affect your estate after certain long-term care services.
  • LTSS information shared — information about long-term services and supports options.

Under the checklist sits a “Comments/Response” section. That’s where the caseworker writes the actual question or explanation, and it’s the most important part of the form to read carefully. It tells you exactly what the agency wants, or what it’s letting you know.3Texas Health and Human Services. Form 2067, Case Information (PDF) The caseworker’s name, phone number, and date appear near the top so you know who to contact with questions.

If the form is only sharing information (a MERP notice, for example), no response is required. If the comments ask for anything — a document, a signature, an explanation — treat it as time-sensitive.

Case Number and Category at the Top

The top of the form lists your case name, your case number, and the category of assistance. The case number is a unique 10-digit number assigned when your application first entered the Texas Integrated Eligibility Redesign System.4Texas Health and Human Services. Medicaid for the Elderly and People with Disabilities Handbook – R-3200, Case Number The “Category” field shows which program the message concerns; if you have benefits in more than one, several categories may be listed.

Write the case number down and keep it somewhere you can find it. You’ll need it on every page you send back, on any additional sheets you attach, and any time you call 2-1-1 about your case. If you can’t find it on Form 2067, it also appears on your Notice of Case Action (Form TF0001) and in your YourTexasBenefits.com account.

How to Respond

The lower half of Form 2067 has a second “To/From” block and a “Comments/Response” area for your reply. If your answer fits, write it there — legibly, in print rather than cursive — then sign and date it. If it doesn’t fit, attach a separate sheet and put your case number at the top of every page so nothing gets separated during scanning.

Gather the supporting documents before you send anything. Pay stubs, a landlord letter, medical records, proof of a change in the household — whatever the comments section specifically asked for. Sending everything together in one response avoids a second request from the caseworker, which can add weeks.

Stick to what was asked. If the box is “Income” and the note says “provide current pay stubs,” send pay stubs. A long narrative about your employment history isn’t matched against anything in the system and can slow the review down. When you attach documents, use paper clips rather than staples so the scanner can process each page on its own.

Where to Send It

HHSC accepts responses four ways. The digital options give you a confirmation trail; paper mail does not unless you add tracking.

  • Upload through YourTexasBenefits.com. Log in and use the document upload feature to submit a scan or clear photo. It attaches directly to your electronic case file.5Texas Health and Human Services. Benefits Application Next Steps
  • Fax to 877-447-2839. The confirmation page is your proof of delivery.5Texas Health and Human Services. Benefits Application Next Steps
  • Mail to HHSC, P.O. Box 149027, Austin, TX 78714-9027. Use certified mail or tracking so you can prove the date if a dispute comes up later.5Texas Health and Human Services. Benefits Application Next Steps
  • Drop it off at your local HHSC benefits office. The Services Office Locator on the HHS website will find the nearest one.6Texas Health and Human Services. Contact

Keep a full copy of what you sent, including the completed form, every attachment, and your proof of delivery. Lost paperwork is one of the most common reasons people end up submitting the same information twice.

How Long You Have

Form 2067 doesn’t always print a deadline on it, but the underlying program rules set one. When HHSC sends a formal verification request, you generally get at least 10 calendar days to provide what’s asked.7Texas Health and Human Services. Texas Works Handbook – B-110, Applications The specific window depends on your program:

  • SNAP: during a redetermination, verification is due by the last business day of the certification month. If more time is needed to give you the full 10 days, HHSC extends the window.8Texas Health and Human Services. Texas Works Handbook – B-120, Redeterminations
  • TANF: if a redetermination is denied for missing information, you have 60 days from the original file date to send it and reopen the case.8Texas Health and Human Services. Texas Works Handbook – B-120, Redeterminations
  • Medicaid: renewals usually give you 30 days to return the signed form and verification. If the case is denied for missing documents, you can still submit them within 90 days of the last eligibility month and reopen without a new application.8Texas Health and Human Services. Texas Works Handbook – B-120, Redeterminations

Miss the deadline and HHSC will send Form TF0001, Notice of Case Action, saying your benefits are being reduced or terminated.8Texas Health and Human Services. Texas Works Handbook – B-120, Redeterminations Read that notice immediately. It gives the effective date and your appeal rights.

After You Submit

Your response is routed to a caseworker for review. For SNAP applications and redeterminations, the agency aims to process everything within 30 days of the file date; late-but-timely verification is processed within five business days of receipt.9Texas Health and Human Services. Texas Works Handbook – B-160, SNAP Timeliness Charts for Applications and All Redeterminations

You can track status through YourTexasBenefits.com or the Your Texas Benefits mobile app. Any decision — approval, denial, or benefit adjustment — comes on Form TF0001, which spells out the change, the effective date, and your right to appeal.10Texas Health and Human Services. Texas Works Handbook – W-1900, Case Disposition If your response is incomplete, expect a new request with a new deadline.

If Someone Else Needs to Handle It for You

You can designate an authorized representative to respond on your behalf — helpful if a disability, illness, or language barrier makes it hard to manage the case yourself. The representative can provide and receive information, report changes, renew benefits, and file appeals for you.11Texas Health and Human Services. Appointment of an Authorized Representative to Allow Another Person to Act for You

Complete Form H1003, Appointment of an Authorized Representative. The representative must be at least 18, and you both must sign. If the person has a legal power of attorney or court-appointed guardianship, attach a copy.12Texas Health and Human Services. Medicaid for the Elderly and People with Disabilities Handbook – Authorized Representative You can also appoint someone by signing the right section on your application or renewal, using an electronic signature at YourTexasBenefits.com, or giving a telephonic signature through 2-1-1. Only one authorized representative is allowed at a time across all HHSC benefits.11Texas Health and Human Services. Appointment of an Authorized Representative to Allow Another Person to Act for You

If You Disagree With What Happens Next

If HHSC reduces, terminates, or denies benefits based on information tied to your Form 2067 response, you can request a fair hearing. Requests can be made in writing, by calling 2-1-1, or in person at a local HHSC office within 90 days of the date on the Notice of Case Action. For actions taken by a managed care organization, you have 120 days.13Texas Health and Human Services. Fair and Fraud Hearings

A hearings officer issues a written decision within 60 to 90 days after the request. The result is either “sustained” (the agency’s action stands) or “reversed” (benefits are restored). Miss your scheduled hearing without calling in and the officer will dismiss the case for failure to appear.13Texas Health and Human Services. Fair and Fraud Hearings

Where to Get Help

If anything on Form 2067 is unclear, call 2-1-1 (or 877-541-7905 from a cell phone or outside Texas) and select Option 2 for benefits assistance. Live interpretation is available in Vietnamese, Farsi, Somali, Arabic, Mandarin, French, and over 150 other languages — press 0 to reach the language line.6Texas Health and Human Services. Contact Any HHSC benefits office will also help you in person with the form or with anything else in your case file.