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 used by the Texas Local Intellectual and Developmental Disability Authority (LIDDA) to request approval to withdraw an enrollment offer. This form helps LIDDA address situations where individuals or their legally authorized representatives (LARs) have not responded to previous offers of home and community-based services (HCS) or Texas Home Living (TxHmL) programs.

This form is used when LIDDA has made an enrollment offer, but the individual or LAR has not responded within a specified timeframe. The form requires LIDDA to provide information about their attempts to contact the individual or LAR, including phone and in-person attempts. The form also allows LIDDA to specify the reason for requesting approval to withdraw the enrollment offer, with options including inability to contact the individual or LAR, lack of response to previous offers, or other reasons.

The TX HHS Form 8590 is an essential tool for LIDDA to manage enrollment offers and ensure that individuals receive the necessary services. By using this form, LIDDA can request approval to withdraw an enrollment offer when circumstances change or when there has been no response from the individual or LAR.