TX HHS Form 8579. Notification of Service Coordinator (SC) Disagreement

The TX HHS Form 8579, Notification of Service Coordinator (SC) Disagreement, is a crucial document for resolving disputes between service coordinators and individuals with intellectual disabilities or related conditions. This form helps to clarify disagreements and ensures that necessary information is shared to address the individual's needs.

This notification form requires key details such as SC name, local authority name, and reasons for disagreement. The form also outlines specific situations where it may be used, including when an individual is not eligible for a service or when a service replaces existing supports. Additionally, the form emphasizes the importance of submitting additional information to support the disagreement.

To complete this form, SCs must provide required information and explain the reason(s) for their disagreement. The completed form should be faxed to HHSC IDD Waivers PE/UR at 512-438-4249 and provider informed of this action. Key points to note include:

• The form is used to resolve disagreements between SCs and individuals with intellectual disabilities or related conditions.
• Required information includes SC name, local authority name, and reasons for disagreement.
• The form must be faxed to HHSC IDD Waivers PE/UR at 512-438-4249 and provider informed of this action.