TX HHS Form 1040. CFC Non-Waiver Packet Information and Checklist

The TX HHS Form 1040 CFC Non-Waiver Packet Information and Checklist is a crucial document that helps solve the problem of determining intellectual disability or related condition for Community First Choice (CFC) services. This form is typically used in situations where an individual requires CFC services, which are managed by a Managed Care Organization (MCO). The person responsible for filling out this form is usually the Legally Authorized Representative (LAR) or the individual themselves.

The key features of this form include required information such as personal details, LIDDA and MCO contact information, and specific assessments like the Intellectual Disability/Related Condition Assessment for CFC Determination. The form also includes a checklist for MCO submission, which ensures that all necessary documents are included. Additionally, the form requires confirmation of LOC approval and reassessment.

This form is essential for individuals seeking CFC services in Texas. It helps ensure that the necessary assessments and evaluations are completed to determine intellectual disability or related condition. The following key points highlight the importance of this form:

• The form is used to determine intellectual disability or related condition for CFC services.
• The LAR or individual must fill out the form with required information.
• The form includes a checklist for MCO submission and requires confirmation of LOC approval and reassessment.