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 with special needs or disabilities who require minor home modifications or adaptive aids to improve their daily living situations. This form helps solve the problem of ensuring that necessary services are authorized and provided to support the well-being and independence of these individuals.

The form is typically used in situations where an individual requires assistance with modifying their home environment or acquiring adaptive aids to accommodate their specific needs. The document requires the individual, parent, guardian, or provider to provide essential information, including personal costs, service requests, and rationale for exceeding service limits. Key features of the form include the requirement for a signature from the individual or authorized representative, as well as the need for the MCO Service Coordinator's approval and signature.

To ensure seamless authorization and provision of services, it is essential to review this form carefully and follow the instructions provided. The form includes key points and requirements, such as the need for personal costs to be negotiated between the provider and individual, and the requirement for a signed copy to be returned to the MCO Service Coordinator within 14 calendar days. By using this form, individuals can ensure that their service authorization is properly processed and that necessary services are provided to support their unique needs.

• The TX HHS Form 2416 is used to authorize minor home modifications and adaptive aids for individuals with special needs or disabilities.
• The form requires the individual, parent, guardian, or provider to provide essential information, including personal costs and service requests.
• The MCO Service Coordinator's approval and signature are necessary for service authorization.