TX HHS Form 8601. Verification of Freedom of Choice

The TX HHS Form 8601, Verification of Freedom of Choice, helps individuals or their legally authorized representatives make informed decisions about their Medicaid-funded services. This form is used in situations where an individual has been approved for a waiver program and needs to verify their choice between the waiver program and applicable institutional programs.

This form requires the individual or representative to provide specific information, including their name, CARE ID (for HCS and TxHmL only), Medicaid number, address, and signature. The form also outlines the services available through the selected waiver program, as well as the types of institutional services that are applicable. By completing this form, individuals can ensure that they have made an informed choice about their care options.

Key features of this form include:

• The requirement to select a waiver program and understand the services available through it
• The need to provide information about the institutional programs from which the waiver program is waived
• The importance of understanding the services that will be received through the selected waiver program, as outlined in the service plan