TX HHS Form 8571. Request to Change Interest List Information for Home 
and Community-based Services (HCS) or Texas Home Living (TxHmL)

The TX HHS Form 8571, "Request to Change Interest List Information for Home and Community-based Services (HCS) or Texas Home Living (TxHmL)", is a crucial document used by individuals receiving services under the HCS or TxHmL waiver programs. This form helps resolve discrepancies in interest list information, ensuring that recipients receive the appropriate care and support.

To complete this form, individuals must provide required documentation, including the original Form 8648, Identification of Preferences, Form 8591, Community Services Interest List (CSIL) Data Entry, and proof of active military service if applicable. Additionally, they may need to provide a LIDDA contact note, ACSIL or CARE screenshot, mental and behavioral health outpatient warehouse screenshot, interest notification letter, verification of freedom choice, and request for termination of services provided by HCS/TxHmL waiver provider.

This form should be used when there is a discrepancy in the interest list information, which can occur due to various reasons such as duplicate records, LIDDA quality assurance reviews, or interest list maintenance. The form requires individuals to provide a detailed explanation of the events that led to the request and any document discrepancies. By completing this form, individuals can ensure that their interest list information is accurate and up-to-date, allowing them to receive the necessary services and support.