TX HHS Form 1023. Request for Services Funded by General Revenue

The Texas Health and Human Services (HHS) Form 1023, "Request for Services Funded by General Revenue," is a crucial document used to request services that are essential to protecting the health and safety of an individual. This form is designed for individuals who require specialized care and support to maintain their well-being.

This form serves as a vital tool for healthcare providers, clinical staff, and other stakeholders involved in the individual's care. It provides a comprehensive framework for assessing the individual's needs and determining the necessary services required to ensure their health and safety. The form also outlines the budget request for general revenue funding, which is essential for providing these critical services.

The Form 1023 is issued by the Texas Health and Human Services (HHS) and is used to facilitate the provision of services that are funded through general revenue. This document requires signatures from various officials, including the Commissioner's decision, indicating approval or disapproval of the requested services and funding. The form plays a critical role in ensuring that individuals receive the necessary support and care to maintain their health and safety.