TX HHS Form 3021. Consent for Eligibility Determination and Enrollment

The TX HHS Form 3021, Consent for Eligibility Determination and Enrollment, is a crucial document that helps individuals determine their eligibility for the Home and Community Based Services-Adult Mental Health (HCBS-AMH) program. This form should be used by consenting adults or legally authorized representatives (LAR) who wish to enroll in the HCBS-AMH program.

The key features of this form include individual's information, program details, and consent for assessment and enrollment. The form requires the individual or LAR to provide their name and other relevant information, as well as authorize the release of confidential information. Additionally, the form explains the purpose and services offered by the HCBS-AMH program, including the role of the recovery manager and the development of an individual recovery plan.

This form is essential for individuals seeking support and services through the HCBS-AMH program. By completing this form, individuals can determine their eligibility for the program and begin receiving necessary services to promote long-term recovery. The TX HHS Form 3021, Consent for Eligibility Determination and Enrollment, is a critical step in the process of accessing these vital services.