TX HHS Form 2060. Needs Assessment Questionnaire. Task and Hour Guide

The Texas Health and Human Services (HHS) Form 2060 is a Needs Assessment Questionnaire and Task/Hour Guide designed to assess the functional abilities of individuals with impairments. This comprehensive form helps identify areas where assistance may be needed, allowing for more effective service arrangements.

The questionnaire is divided into two parts: Part A, Functional Assessment, which evaluates daily living activities such as bathing, dressing, exercise, and personal care; and Part B, Task/Hour Guide, which provides a detailed breakdown of tasks and the estimated time required to complete them. The form also includes sections for calculating total hours needed and authorization.

This essential tool is intended for use by applicants or members of Medicaid programs in Texas, as well as caregivers, healthcare professionals, and other authorized personnel. By providing a thorough assessment of an individual's needs, the Form 2060 enables more informed decision-making and ensures that necessary support services are provided to promote independence and quality of life.