TX HHS Form 1044. Refusal of Habilitation Coordination

The TX HHS Form 1044, Refusal of Habilitation Coordination, is a document used by individuals or their legally authorized representatives to decline habilitation coordination services. This form helps solve the problem of unwanted or unnecessary involvement in habilitation coordination processes, allowing individuals to opt out and maintain control over their care.

This form typically requires information such as the individual's name, CARE ID, date of nursing facility admission, and date of PASRR evaluation. The individual or LAR must also provide a reason for refusing habilitation coordination, which will be described by the habilitation coordinator. Additionally, the form outlines follow-up actions, including the option to request habilitation coordination at any time by contacting the local intellectual and developmental disability authority (LIDDA).

The key features of this form include the required information listed above, as well as the individual's or LAR's right to refuse habilitation coordination. The form also emphasizes the importance of understanding that individuals can request habilitation coordination at any time if needed. Here are some key points and requirements:

• The form is used by individuals or their legally authorized representatives to decline habilitation coordination services.
• The individual or LAR must provide a reason for refusing habilitation coordination, which will be described by the habilitation coordinator.
• The form requires information such as the individual's name, CARE ID, date of nursing facility admission, and date of PASRR evaluation.
• Individuals can request habilitation coordination at any time if needed.