TX HHS Form 2307. Rights and Responsibilities

Form 2307, outlines the rights and responsibilities of individuals seeking services through the Texas Health and Human Services Commission (HHSC). This form ensures that applicants are fully informed about their entitlements, the application process, and the protections they receive under federal and state laws.

Purpose of the Form

The primary purpose of Form 2307 is to inform applicants of their legal rights when applying for services, including nondiscrimination protections, confidentiality, participation in service planning, and access to fair hearings. It also provides guidance on how to submit applications and the responsibilities of both HHSC and the applicant.

Key Sections of the Form

Part I – Your Rights

This section informs applicants about their fundamental rights. Each subsection explains specific protections and processes:

• Nondiscrimination: Applicants are protected from discrimination based on race, color, national origin, age, sex, disability, political beliefs, or religion. If you believe you have been treated unfairly, you can file a complaint with the HHSC Office of Civil Rights or the U.S. Department of Health and Human Services. Common mistake: applicants often miss the contact information or deadlines for filing complaints.
• Application: Applications can be submitted in person, by mail, or by an authorized representative. HHSC staff or volunteers can assist in completing the application. Mistake to avoid: not providing all required information, which can delay eligibility determination.
• Right to Receive Services: If funding is available and eligibility is confirmed, applicants are entitled to services. If not, they may be placed on an interest list. Practical tip: ensure your contact information is correct to receive timely updates.
• Confidentiality of Information: All information collected is confidential under state and federal law. Mistakes often occur when applicants unintentionally share sensitive data with unauthorized parties.
• Right to Participate in Service Planning: Applicants have the right to help plan the services they receive, including timing and frequency. Common error: failing to communicate specific needs clearly to the case manager.
• Right to be Notified of Changes: Applicants must be informed in writing about changes in eligibility or services at least 12 days in advance. Exceptions include loss of Medicaid eligibility or immediate safety concerns. Tip: review all notices carefully and keep copies for your records.
• Right to Fair Hearing: Applicants can request a hearing if they believe decisions are incorrect. Services may continue during the hearing if requested within 12 days. Mistake to avoid: missing the 12-day window to request a hearing.

Practical Recommendations

• Read each section of the form carefully and ask for clarification if anything is unclear.
• Keep copies of all submitted documents and notices received from HHSC.
• Provide complete and accurate information to avoid delays in service delivery.
• Maintain contact information up to date with HHSC to ensure timely notifications.

Real-Life Examples

• Maria, a new applicant for Community Attendant Services, used Form 2307 to understand her right to participate in creating her service schedule and avoid missing critical support hours.
• James, whose eligibility for services was temporarily denied, submitted a request for a fair hearing within the 12-day window, allowing him to continue receiving services while the case was reviewed.
• Susan, concerned about discrimination, filed a complaint with the HHSC Office of Civil Rights after noticing unfair treatment during the intake process.

Required Supporting Documents

Applicants may need to attach:

• Proof of identity (e.g., government-issued ID)
• Medical or disability documentation, if applicable
• Completed application forms or supplemental information requested by HHSC
• Any previous correspondence with HHSC related to services

Frequently Asked Questions

Who can submit Form 2307?

Applicants themselves or an authorized representative may submit the form.

When should this form be submitted?

It should be submitted whenever applying for services covered by HHSC or updating existing service information.

What happens if I miss a deadline?

Missing the 12-day window for hearings or notifications may delay or prevent service continuation.

Can someone assist me with completing the form?

Yes, HHSC volunteers or staff can help complete the form and guide you through the application process.

Is my information confidential?

All collected information is protected under federal and state confidentiality laws.

What if I experience discrimination?

You can file a complaint with HHSC or the U.S. Department of Health and Human Services.

How will I know about changes to my services?

You will receive written notice at least 12 days before any change, except under specified exceptions.

Micro-FAQ

• Purpose: To inform applicants of their rights and responsibilities.
• Who files: Applicant or authorized representative.
• Deadline: As specified for hearings or notifications.
• Attachments: Identification, medical documents, and previous correspondence.
• Submitted to: HHSC Office or via authorized channels.
• Assistance: Available through HHSC staff or volunteers.
• Confidential: Yes, protected by law.

Related Forms and Navigation

• Form 2306 – Application for Services
• Form 2310 – Appeal Request
• Form 2322 – Confidentiality Agreement
• Texas Health and Human Services Legal Guides

Form Details

• Name: Rights and Responsibilities Form
• Number: 2307
• Region: Texas
• Revision Date: June 2024