TX HHS Form 2423. Request for Medical Evidence

The TX HHS Form 2423, Request for Medical Evidence, is a crucial document used to facilitate the disability determination process for services available through Texas Health and Human Services (HHS). This form helps solve the problem of verifying an applicant's medical condition and its impact on daily activities.

This form requires applicants to provide medical evidence, specifically the most recent 12 months of medical records signed by a treating physician. The diagnosis and any effects on activities of daily living must be listed in these records. This information will be collected during the initial face-to-face contact with a case manager. If you have any questions regarding this requirement, please contact your case manager at the provided telephone number.

The TX HHS Form 2423 should be used when an applicant needs a disability determination as part of their eligibility process for services offered by HHSC. This form is essential in expediting the disability determination process and ensuring that applicants receive the necessary support and resources.