TX HHS Form 2006. Non-Waiver Complaint

The TX HHS Form 2006, Non-Waiver Complaint, is a crucial document for resolving issues related to Texas Home Living (TxHmL) Waiver Providers. This form helps facilitate the reporting of complaints by waiver providers regarding services provided to individuals with intellectual and developmental disabilities. The form is typically completed by TxHmL Waiver Provider staff or their representatives.

The Non-Waiver Complaint Form requires specific information from both the MCO (Managed Care Organization) contact person and the HCS/TxHmL Waiver Provider. This includes details such as name, position, area code and phone number, email address, office location, and waiver contract area. Additionally, the form asks for required information about the individual receiving services, including their name, date of birth, social security number, Medicaid number, and address.

The purpose of this form is to provide a standardized process for reporting complaints related to TxHmL Waiver Provider services. The Consumer Rights Intellectual Disability (CRID) Unit will route all completed forms through their office. Key points to note include:

• Complaints must be specific and include names, dates, witnesses, and relevant information.
• The form is used by TxHmL Waiver Providers to report issues related to services provided to individuals with intellectual and developmental disabilities.
• The CRID Unit will process all completed forms.