TX HHS Form 3615. Request to Continue Suspension of Waiver Program Services

TX HHS Form 3615. Request to Continue Suspension of Waiver Program Services

The TX HHS Form 3615, "Request to Continue Suspension of Waiver Program Services," is a crucial document for individuals who require waiver program services, such as Texas Home Living (TxHmL) or Home and Community-based Services (HCS). This form helps solve the problem of requesting continued suspension of these services when an individual's circumstances change.

This form is typically used in situations where an individual's waiver program services need to be suspended due to various reasons, such as loss of financial eligibility, hospitalization, or elopement. The service coordinator is responsible for submitting this form along with required documentation, including a written explanation of the original reason for suspending services and justification for requesting continued suspension. Key features of this form include the requirement for 90-day, 180-day, and 270-day review documentation.

The TX HHS Form 3615 is an essential tool for individuals, service coordinators, and providers to ensure that waiver program services are suspended and then reinstated as needed. By completing this form, individuals can request continued suspension of their waiver program services, which helps maintain continuity of care and support. Key points to note include:

  • The form is used for requesting continued suspension of waiver program services.
  • Required documentation includes a written explanation of the original reason for suspending services and justification for requesting continued suspension.
  • The service coordinator is responsible for submitting this form along with required documentation.
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SourcePage: 
https://www.hhs.texas.gov/regulations/forms/3000-3999/form-3615-request-continue-suspension-waiver-program-services