TX HHS Form 8575. Notification of Local Authority (LA) Reassignment

TX HHS Form 8575, Notification of Local Authority (LA) Reassignment, is a document used to notify the receiving Local Intellectual and Developmental Disability Authority (LIDDA) of a change in service coordination. This form helps resolve the issue of transferring responsibility for an individual's services from one LIDDA to another.

The form requires key information such as the current and new LIDDA names, component codes, local case numbers, and representative contact details. It also includes space for recording the date of data entry and the area code and phone number of the service coordinator. This document is typically used when a client's services are being reassigned from one LIDDA to another due to a move or other changes.

This form is essential for ensuring a smooth transition of services and maintaining accurate records. By completing TX HHS Form 8575, service coordinators can ensure that all necessary information is shared with the new LIDDA, facilitating effective communication and minimizing disruptions in care.