TX HHS Form 2065-A. Notification of Community Care Services

The TX HHS Form 2065-A, Notification of Community Care Services, serves as a notification mechanism for Texas Health and Human Services (HHS) to inform individuals about their eligibility or ineligibility for community care services. This form also provides notice of service terminations or suspensions, as well as changes to copayment or food plans.

The purpose of this form is to ensure that individuals are informed of any changes or updates related to community care services provided by HHS. The notification process helps maintain transparency and accountability within the system, allowing individuals to make informed decisions about their healthcare options. This form is essential for ensuring that individuals receive the necessary support and resources to access quality care.

This form is intended for use by HHS staff and other authorized personnel who are responsible for managing community care services in Texas. The issuing agency, Texas Health and Human Services (HHS), has developed this form to facilitate effective communication with individuals affected by changes or updates related to these services. By using Form 2065-A, HHS can ensure that all necessary notifications are made in a timely and efficient manner.