TX HHS Form H0005. Policy Clarification Request (PCR)

The Policy Clarification Request (PCR) Form H0005, issued by Texas Health and Human Services (HHS), is a tool designed to help resolve policy-related questions or concerns. This form is typically used in situations where there is uncertainty about the application of a specific policy or procedure, particularly in the Medicaid for the Elderly and People with Disabilities (MEPD) and Texas Works (TW) programs.

The PCR Form H0005 requires the requestor to provide key information, including their name, email address, and requesting area. The form also includes sections for the reviewer to confirm review of the policy question and for the client's case details, such as application or case number, file date, and type of assistance sought. Additionally, the form allows for urgent requests to be flagged, with a reason provided for the urgency.

Key features of the PCR Form H0005 include:

• The requestor must provide their name, email address, and requesting area.
• The reviewer must confirm review of the policy question.
• The form allows for urgent requests to be flagged with a reason provided.