Many organizations serve persons eligible for Hillsborough HealthCare. Our Institutional Outreach Program was recently developed to make it easier for these people to enroll in the program. Participating organizations help their clients to complete the application forms and acquire the necessary documentation. These application packets are given priority treatment when they are received – or as we like to say, they go to the “head of the line.” Organizations interested in joining our Institutional Outreach Program should call (813) 301-7352.

Directions:
If you believe your client meets the Eligibility Requirements (About the Program) , help the client to complete the Application Packet.

• Application Worksheet

• Documentation
  
  • Income
  • Assets
  • Residency
  • Citizenship

• Forms
  
  • Department of Health and Social Services Applicant / Recipient Acknowledgements and Agreements