TX HHS Form 6000. Children's Autism Program Enrollment

The TX HHS Form 6000 is a crucial document for enrolling children in the Children's Autism Program. This form helps families navigate the enrollment process by providing a comprehensive platform to submit essential information about their child and household.

This form requires parents or guardians to provide detailed information about their child, including first name, middle name, birth date, and relationship to the child. Additionally, it asks for income-related information, such as gross income, allowable deductions, and adjusted gross income. The form also inquires about insurance coverage, including CHIP, Medicaid, Medicare, and private insurance.

By completing this form, families can ensure a smooth enrollment process for their child in the Children's Autism Program. Key features of this form include the requirement to certify that all statements made are true and correct, as well as the need to provide insurance information if applicable. The form is typically filled out by parents or guardians who are seeking services for their child with autism.

• This form is used for enrolling children in the Children's Autism Program.
• It requires detailed information about the child and household income.
• Insurance coverage, including CHIP, Medicaid, Medicare, and private insurance, must be reported if applicable.