TX HHS Form 4116-MHM-AA. Minor Home Modification and Adaptive Aids Summary Sheet

The TX HHS Form 4116-MHM-AA, Minor Home Modification and Adaptive Aids Summary Sheet, is a crucial tool for individuals seeking to modify their homes or acquire adaptive aids to improve their daily living. This form helps solve the problem of ensuring that home modifications and adaptive aids meet specific requirements, thereby facilitating access to necessary services.

This summary sheet requires key information such as certification by submission, which ensures that all requirements set forth in the Home and Community-Based Services/Texas Home Living Billing Guidelines are met. The form also highlights important sections for recording relevant details, including dates and signatures. Common scenarios of use include situations where individuals require minor home modifications or adaptive aids to maintain their independence and quality of life.

The TX HHS Form 4116-MHM-AA is an essential document for those seeking to make minor home modifications or acquire adaptive aids through the Home and Community-Based Services/Texas Home Living OT Svcs. By using this form, individuals can ensure that their requests meet all necessary requirements, thereby streamlining the process of accessing these vital services.