TX HHS Form 8648. Identification of Preferences

TX HHS Form 8648. Identification of Preferences

The TX HHS Form 8648, Identification of Preferences, helps individuals with intellectual and developmental disabilities identify their preferences for services and supports. This form is typically completed by the primary correspondent or representative of the individual, such as a family member or caregiver.

This form serves as documentation of the individual's stated preferences for services and supports, including options like Home and Community-based Services (HCS), Texas Home Living (TxHmL), State Supported Living Center (SSLC), Community-Based Intermediate Care Facility for Individuals with Intellectual Disability (ICF/IID), LIDDA Community Services and Supports, and Community First Choice (CFC) Services. The form also requires the primary correspondent's contact information and signature.

Key features of this form include the requirement to indicate the person's preference(s) by selecting at least one option from the listed services and supports. Additionally, if the individual's name is added to the HCS or TxHmL interest list, it is the responsibility of the primary correspondent to keep the LIDDA informed of changes to their contact information. The form also includes a date of discussion requirement and signature requirements for both the primary correspondent and the LIDDA representative.

  • This form helps individuals with intellectual and developmental disabilities identify their preferences for services and supports.
  • The form is typically completed by the primary correspondent or representative of the individual, such as a family member or caregiver.
  • The form requires the primary correspondent's contact information and signature.
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SourcePage: 
https://www.hhs.texas.gov/regulations/forms/8000-8999/form-8648-identification-preferences