TX HHS Form 2101. Authorization for Community Care Services

The Texas Health and Human Services (HHS) Form 2101, Authorization for Community Care Services, serves as a crucial document for individuals seeking community care services. This form enables the authorized agent to grant permission for the provision of various services, including personal assistance, meal preparation, and escort services.

This comprehensive form is designed for use by authorized agents, case managers, and contracted agencies working with Texas HHS. The form requires information such as individual name, contract number, and service items, allowing for a detailed understanding of the services required. The form also includes space for comments, signature, and date, ensuring that all necessary details are captured.

The TX HHS Form 2101 is an essential tool for facilitating community care services in Texas. By providing a standardized framework for authorization, this form helps ensure that individuals receive the necessary support to maintain their independence and quality of life. As such, it is an important resource for anyone involved in the provision or receipt of community care services in the state.