TX HHS Form 8583. HCS and TxHmL Program Contact Information

The TX HHS Form 8583, HCS and TxHmL Program Contact Information, is a crucial document that helps facilitate communication between healthcare providers, patients, and families. This form serves as a centralized repository for contact information related to Home and Community-based Services (HCS) and Texas Home Living (TxHmL) programs.

The form requires the submission of essential details, including the name of the individual, Medicaid number, and legally authorized representative (LAR). Additionally, it captures primary and alternate contact information, as well as fax numbers and email addresses. This comprehensive collection of data enables healthcare providers to efficiently coordinate care and services for patients.

This form is typically used in situations where patients require ongoing support and care. Healthcare professionals, families, and caregivers may fill out this document to ensure seamless communication and coordination of services. By providing a single point of contact information, the TX HHS Form 8583 streamlines the process of delivering quality care to individuals with complex needs.

• This form is used for Home and Community-based Services (HCS) and Texas Home Living (TxHmL) programs.
• The form requires submission of essential contact information, including name, Medicaid number, and legally authorized representative (LAR).