TX HHS Form 1587. Financial Management Services Agency (FMSA) First Consumer Fax Cover Sheet

The TX HHS Form 1587, Financial Management Services Agency (FMSA) First Consumer Fax Cover Sheet, is a crucial document used by the Texas Health and Human Services (HHS) to facilitate communication between program providers and consumers. This form serves as a cover sheet for fax transmissions related to consumer enrollment or transfer in various programs.

The purpose of this form is to provide essential information about the sender, recipient, and contents of the fax transmission. It includes details such as date, contact names and numbers, and confidentiality statements. The form also specifies the types of forms that must be included with the transmission, ensuring a comprehensive and organized exchange of information.

This document is intended for use by program providers and consumers involved in HCS or TxHmL programs. As an official form issued by the Texas Health and Human Services (HHS), it plays a vital role in maintaining accurate records and facilitating efficient communication within these programs. By using this form, parties can ensure that all necessary information is transmitted securely and efficiently.