Community Health Services

46 item(s) - Page 3 of 5
CIHCP Monthly Financial– Activity Report (County Indigent Health Care)
Product ID : CIHCP Form 105
$0.00
Product is out of stock
CM Initial Prior Authorization Request
Product ID : CM-01
$0.00
Product is out of stock
Eligibility Dispute Resolution Request (County Indigent Health Care)
Product ID : CIHCP Form 106
$0.00
Product is out of stock
Flow Sheet Immunizations (no print copy available)
Product ID : ECORE-5
$0.00
Product is out of stock
Historia de dieta (Diet History) (no print copy available)
Product ID : ECORE-4B
$0.00
Product is out of stock
KHC Contracted Dialysis Provider Information Form
Product ID : F41-10982
$0.00
Product is out of stock
KHC Non-Contracted Dialysis Provider Information Form
Product ID : EF41-10981
$0.00
Product is out of stock
KHC Prescription Drug Plan Provider Enrollment Form
Product ID : F41-12836
$0.00
Product is out of stock

Help Documents

Fill out our PINNACLE HELP FORM if you need help with your username, password, or you received the wrong publication.

If one or more of the immunization publications you are looking for are listed as out of stock, you may be able to find and order the publication at the following webpage https://secure.immunizetexasorderform.com/default.asp.

If one or more of the Women Infant & Children (WIC) publications you are looking for are listed as out of stock, you may be able to find and order the publication at the following webpage http://www.dshs.state.tx.us/wichd/WICCatalog/contents.shtm

You can order an exact quantity instead of just one publication or product item. Just click on the title of the product you are interested in. For some items if you request a quantity of 1, you will receive exactly one item.

Eligibility Support (ES) Materials This support tool provides an overview of the process through which offices will receive and order new eligibility system/ES envelopes, applications, and forms.

Texas Works Policy - State Processes: The Texas Works Policy - Processes provides the complete list of documentation for internal state processes.