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

The TX HHS Form 8493, Notification Regarding a Death in Home and Community-based Services (HCS), Texas Home Living (TxHmL) and Deaf Blind with Multiple Disabilities (DBMD) Programs, is a crucial document used to report the death of an individual receiving services under these programs. This form helps ensure that program providers notify relevant authorities and stakeholders in a timely manner, facilitating prompt investigations and necessary follow-up actions.

This notification form requires specific information, including the date of death, cause of death (if known), and details about the provider's involvement with the individual. The form must be submitted to HHSC by fax or through the Salesforce provider portal, as well as to the local intellectual and developmental disability authority, within one business day after the program provider becomes aware of the death.

The TX HHS Form 8493 is typically filled out by program providers in situations where an individual receiving services under HCS, TxHmL, or DBMD programs has passed away. Key features of this form include the requirement to submit additional documents within three business days after initial notification and the possibility of further requests for information during the investigation process.

• This form is used to report the death of an individual receiving services under HCS, TxHmL, or DBMD programs.
• The form must be submitted to HHSC and local authorities within one business day after the program provider becomes aware of the death.
• Additional documents may be requested during the investigation process.