TX HHS Form 2416. Minor Home Modifications and Adaptive Aids Service Authorization

The TX HHS Form 2416, Minor Home Modifications and Adaptive Aids Service Authorization, is a crucial document for individuals who require assistance with modifying their homes or acquiring adaptive aids to improve their daily living. This form helps solve the problem of obtaining necessary services and accommodations to support independence and well-being.

This form should be used by parents, guardians, or individuals seeking authorization for minor home modifications (MHM) or adaptive aids (AA) services through the Medically Dependent Children Program. The required information includes individual details, requested service type, personal costs (if applicable), and provider information. Key sections include Section A: Individual Information, Section B: Requested Service and Personal Costs, and Section C: Service Authorization.

The form is designed to facilitate communication between the individual requesting services, the Managed Care Organization (MCO), and the service provider. It outlines the authorized services, including MHM and AA, as well as any personal costs associated with the requested modifications or aids. The TX HHS Form 2416: Minor Home Modifications and Adaptive Aids Service Authorization is an essential tool for ensuring that necessary support services are provided to individuals in need.