TX HHS Form 8605. Documentation of Completion of Purchase

The TX HHS Form 8605, "Documentation of Completion of Purchase", is a crucial document that helps individuals or their legally authorized representatives (LARs) confirm the completion of specific purchases related to healthcare services. This form should be used when an individual has acquired adaptive aids, medical supplies, minor home modifications, or emergency response systems through various waiver programs offered by Texas Health and Human Services (HHS), such as Community Living Assistance and Support Services (CLASS), Deaf Blind with Multiple Disabilities (DBMD) Waiver, Medically Dependent Children Program (MDCP), or Community First Choice (CFC).

The form requires the individual to provide essential information, including their name, address, type of purchase, completion date, and description of the item. Additionally, it asks about the individual's satisfaction with the purchased item, whether they require additional training in its use, and any recommendations for resolution if they are not satisfied. The form also includes a section for service provider representatives to sign off on the documentation.

This form is an important tool for ensuring that individuals receive the necessary support and resources to maintain their independence and quality of life. By completing this form, individuals can demonstrate compliance with program requirements and provide valuable feedback to service providers and HHS officials.