TX HHS Form 1032. Residential Care Copayment Worksheet

The Residential Care Copayment Worksheet (TX HHS Form 1032) is a critical tool for individuals receiving residential care services in Texas. Issued by the Texas Health and Human Services (HHS), this form helps calculate copayments for these essential services.

This worksheet guides users through three steps to determine their monthly copayment amount. The first step calculates net income, taking into account earned income, deductions, and unearned income. The second step determines room and board payments based on daily rates and average days in a month. Finally, the third step calculates personal needs allowances and subtracts these from total countable income to arrive at the monthly copayment amount.

The resulting copayment amounts are then prorated for initial months of service, ensuring that individuals only pay what they owe. The worksheet also provides instructions on how to calculate available funds and determine the lesser of two possible copayment amounts. By following this straightforward process, individuals can accurately determine their residential care copayments and ensure compliance with Texas HHS regulations.