TX HHS Form 1051. Request for Determination of Intellectual Disability (DID)

The TX HHS Form 1051, Request for Determination of Intellectual Disability (DID), is a crucial document that helps identify individuals with intellectual disabilities. This form is typically filled out by the Department of Family and Protective Services (DFPS) or other authorized entities to initiate the process of determining an individual's intellectual disability status.

The form requires essential information about the individual, including their Medicaid number, social security number, date of birth, age, address, and current placement. Additionally, it captures details about the local Intellectual and Developmental Disability Authority (LIDDA) involved in the process, such as contact information and staff assigned to the case. The form also includes sections for reassigned LIDDA information and local procedure development and support.

This form is essential for individuals who are placed into child protective services, managing conservatorship, or referred for HHSC guardianship. By completing this form, DFPS can initiate the process of determining an individual's intellectual disability status, which is critical for providing appropriate care and support. Key points to note include:

• The form is used by DFPS and other authorized entities to determine an individual's intellectual disability status.
• The form requires essential information about the individual, including their Medicaid number, social security number, date of birth, age, address, and current placement.
• The form captures details about the local Intellectual and Developmental Disability Authority (LIDDA) involved in the process.