TX HHS Form 8510. HCS/TxHmL CFC PAS/HAB Assessment

The TX HHS Form 8510, HCS/TxHmL CFC PAS/HAB Assessment, is a tool used to evaluate the needs of individuals receiving Community First Choice (CFC) Personal Assistance Services (PAS) or Habilitation (HAB) services through the Home and Community-based Services (HCS) program or Texas Home Living (TxHmL). This assessment helps determine the level of support required for daily activities, such as personal care, household tasks, and employment.

The form consists of two main sections: Background Information and Needs Assessment Questionnaire and Task/Hour Guide. The Background Information section collects essential details about the individual, including their name, date of birth, Medicaid number, waiver program, and employment status. The Needs Assessment Questionnaire and Task/Hour Guide section scores the individual's functional impairment level and provides a task guide with estimated times for various activities.

This form should be used when assessing the needs of individuals receiving CFC PAS/HAB services through HCS/TxHmL. It is essential to complete this assessment accurately, as it will inform the development of the individual's Individual Plan of Care (IPC) and determine the level of support required for their daily activities.