TX HHS Form 2068. Application or Redetermination or Monitoring for Community Care Services

The Texas Health and Human Services (HHS) has issued Form 2068, Application or Redetermination or Monitoring for Community Care Services. This form serves as a tool to monitor community care services, review eligibility, and determine continued eligibility for these services.

This application is designed for individuals who have received community care services and are required to complete the enclosed form. The form must be answered thoroughly, with "no" or "none" entered for questions that do not apply. Signatures and dates are also essential. A case worker may assist in completing the form and answering questions during a home visit.

A case worker from Texas HHS will visit your home to review the application and determine eligibility or continued eligibility for community care services. It is crucial to have proof of all income and available resources, including award letters, earnings statements, bank statements, savings passbooks, certificates of deposit, and notes, stocks, or bonds. The case worker will call you to schedule an appointment and discuss the application.