TX HHS Form 8590. Request for Approval to Withdraw an Enrollment Offer

The TX HHS Form 8590, Request for Approval to Withdraw an Enrollment Offer, is a crucial document that helps resolve issues related to enrollment offers in the Texas Home Living (TxHmL) program. This form is typically used by the Local Intellectual and Developmental Disability Authority (LIDDA) when they need to withdraw an enrollment offer due to various reasons.

The form requires specific information, including LIDDA's details, person's information, reason for requesting withdrawal, and documentation of attempts made by the LIDDA. The reasons for withdrawal include inability to contact the person or legally authorized representative (LAR), lack of response to previous offers, incomplete documentation, or changes in the person's circumstances. The form also outlines the responsibilities of the LIDDA, including contacting the slot monitor and submitting the form via certified mail.

The TX HHS Form 8590 is an essential tool for resolving enrollment issues in a timely and efficient manner. By filling out this form, the LIDDA can formally request approval to withdraw an enrollment offer and ensure that all necessary steps are taken to update the offer status with HHSC. Key points to note include:

• The form is used by LIDDA to withdraw an enrollment offer due to various reasons.
• The form requires specific information, including reason for withdrawal and documentation of attempts made by the LIDDA.
• The form outlines the responsibilities of the LIDDA, including contacting the slot monitor and submitting the form via certified mail.