TX HHS Form 8601. Verification of Freedom of Choice

The TX HHS Form 8601, Verification of Freedom of Choice, is a crucial document for recipients or potential recipients of Medicaid-funded services in Texas. This form helps ensure that individuals understand their options between waiver programs and institutional programs.

This form requires the individual to provide essential information, including their name, CARE ID (for HCS and TxHmL only), Medicaid number, address, and selection of either an initial or annual verification. The document also highlights the importance of understanding the services available through the chosen waiver program, which will be outlined in the individual's service plan.

The form is designed for individuals who have been informed about the types of institutional services available to them and are given a choice between home and community-based services or institutional programs. Key options include Community Living Assistance and Support Services (CLASS), Deaf Blind with Multiple Disabilities (DBMD), Home and Community-based Services (HCS) Program, Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions (ICF/IID), Nursing Facility (NF) Institutional Program, Texas Home Living (TxHmL) Program, and Other. This form should be used when verifying the individual's freedom of choice in selecting a waiver program.