TX HHS Form 8493. Notification Regarding a Death in HCS. TxHmL and DBMD Programs

TX HHS Form 8493: Notification Regarding a Death in HCS, TxHmL, and DBMD Programs

This form is used to notify Texas Health and Human Services (HHS) of the death of an individual receiving services through Home and Community-based Services (HCS), Texas Home Living (TxHmL), or Deaf Blind with Multiple Disabilities (DBMD) programs. The form must be submitted by fax or through the Salesforce provider portal, and local intellectual and developmental disability authorities, within one business day after the program provider becomes aware of the death.

The form requires submission of key information, including date of death, cause of death (if known), and brief description of events surrounding the death. Additionally, supporting documents may be requested by HHS to facilitate a thorough investigation. This notification is critical for ensuring timely reporting of deaths in these programs, as mandated by Texas Administrative Code.