TX HHS Form 2110-A. Community Care Intake Nursing Facility Diversion Slot Screening

The Texas Health and Human Services (HHS) Form 2110-A, "Community Care Intake Nursing Facility Diversion Slot Screening," serves as a crucial tool for assessing the eligibility of individuals for nursing facility diversion slots. This form is designed to help care providers and social workers determine whether an individual meets the criteria for diversion from a nursing facility.

The purpose of this form is to gather information about an individual's life events, caregiver availability, and potential for in-home care. The questions on the form are carefully crafted to identify individuals who may benefit from diversion slots, which can provide temporary support for those transitioning between healthcare settings or requiring ongoing care at home. By completing this form, users can determine whether an individual meets the criteria for a diversion slot and make informed decisions about their care.

This form is intended for use by professionals working in the field of community care, including social workers, case managers, and caregivers. As issued by the Texas HHS, Form 2110-A provides a standardized framework for assessing eligibility and facilitating the diversion process. By using this form, users can ensure that individuals receive the appropriate level of support and care, while also streamlining the diversion process.