TX HHS Form 2113. Community Services Interest List Registration and Follow-Up

TX HHS Form 2113. Community Services Interest List Registration and Follow-Up

The TX HHS Form 2113, Community Services Interest List Registration and Follow-Up, is a crucial tool for individuals seeking community services and support. This form helps solve the problem of identifying eligible individuals who require assistance with daily living activities, healthcare, or other essential services. Typically filled out by individuals, caregivers, or service providers, this form serves as a registration and follow-up mechanism to ensure that those in need receive the necessary support.

The form requires key information such as user's region number, type of action, date of contact/intake, open release/assign/close dates, and personal details like name, suffix, date of birth, and living arrangement. Additionally, it captures essential data on institutional settings, community services currently received, and eligibility status for programs like SSI or Medicaid. The form also includes conditions and responsibilities for the individual, caregiver, or service provider, ensuring that necessary follow-up actions are taken to provide ongoing support.

The TX HHS Form 2113 is an essential tool for individuals seeking community services and support in Texas. Key points to note include:

  • Required information includes user's region number, type of action, date of contact/intake, open release/assign/close dates, and personal details.
  • The form captures data on institutional settings, community services currently received, and eligibility status for programs like SSI or Medicaid.
  • Conditions and responsibilities are outlined for the individual, caregiver, or service provider to ensure necessary follow-up actions are taken.
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SourcePage: 
https://www.hhs.texas.gov/regulations/forms/2000-2999/form-2113-community-services-interest-list-registration-follow