TX HHS Form 2064. Eligibility Worksheet

The TX HHS Form 2064, Eligibility Worksheet, is a crucial tool for determining the financial eligibility of individuals seeking Community Care for Aged and Disabled (CCAD) services. This form helps solve the problem of assessing an individual's financial situation to determine their suitability for CCAD services.

This worksheet requires specific information, including categorically eligible reasons, income eligibility determination, and excess resources or income. The form also outlines conditions for financial eligibility, such as meeting age and need criteria. Additionally, it highlights responsibilities, such as certifying the individual's financial and functional eligibility to receive CCSE services. Follow-up actions include providing Form 2307 to the person and signing and filing Form 1350.

The TX HHS Form 2064 is typically used in situations where an individual is applying for CCAD services and requires immediate or expedited service responses. Key points to note include:

• Required information includes categorically eligible reasons, income eligibility determination, and excess resources or income.
• The form is used to determine financial eligibility for CCAD services.
• It outlines conditions for financial eligibility, such as meeting age and need criteria.