TX HHS Form 8578-CFC. Intellectual Disability/Related Condition Assessment for CFC

The TX HHS Form 8578-CFC, Intellectual Disability/Related Condition Assessment for CFC, is a crucial tool used by the Local Intellectual and Developmental Disabilities Authority (LIDDA) to assess individuals with intellectual disabilities or related conditions for Community First Choice (CFC) non-waiver eligibility. This form helps determine an individual's level of care needs and ensures they receive the necessary support.

This assessment form requires important information, including the individual's name, date of birth, mailing address, Medicaid number, and CARE ID. The LIDDA representative must also certify that all information is true and accurate, as well as attest to the primary diagnosis and onset if the primary diagnosis is a related condition. Key sections include the Intellectual Disability/Related Condition Assessment, which utilizes instruments such as the Vineland and SIB-R, and the Related Conditions Eligibility Screening Instrument (Form 8662).

This form should be used for initial assessments, annual reassessments, or off-cycle reassessments to determine an individual's level of care needs. The TX HHS Form 8578-CFC is a vital tool in ensuring that individuals with intellectual disabilities or related conditions receive the necessary support and services through the CFC program.