TX HHS Form 2823. Local Mental and Behavioral Health Authority Referral

The TX HHS Form 2823, Local Mental and Behavioral Health Authority Referral, is a crucial document that helps address the mental health needs of children. This form is typically completed by families in collaboration with local mental health authorities (LMHAs) and behavioral health authorities (LBHAs). The purpose of this form is to facilitate referrals for residential treatment center (RTC) projects, providing essential information about the child's current situation and goals.

The form requires specific information from the family, including the child's name, date of referral, Medicaid ID, and clinical management for behavioral health services (CMBHS) number. Additionally, it asks about the child's living situation, safety concerns, and previous removals from the home due to safety concerns. The legally authorized representative must also provide their contact information and a brief summary of the child's current living situation.

The form is used in situations where children require residential treatment center services for behavioral health issues. By completing this form, LMHAs and LBHAs can submit referrals securely via email to [email protected]. Key points to note include:

• The form must be completed with the family.
• LMHAs and LBHAs are responsible for submitting the completed form via secure email.
• The form requires specific information about the child's current situation, goals, and living arrangements.