TX HHS Form H0901. HHSC Enhanced Data Gathering Worksheet

The HHSC Enhanced Data Gathering Worksheet, Form H0901, is a crucial tool for collecting essential information from clients seeking benefits or redetermination through the Texas Health and Human Services (HHS) system. This form helps streamline the application process by gathering vital details about household members, their identities, and any relevant circumstances that may impact eligibility.

This worksheet requires specific information, including social security numbers, language lines used, and documentation of alien status. It also inquires about potential disqualifying factors, such as intentional program violations or refusal to cooperate with quality control processes. The form specifies conditions for proceeding, including verification of home addresses and authentication of client identities through phone interviews or online submissions.

Key features of the HHSC Enhanced Data Gathering Worksheet include:

• A comprehensive list of household members, including their social security numbers and alien status
• Verification of client identities through phone interviews or online submissions
• Assessment of potential disqualifying factors, such as intentional program violations or refusal to cooperate with quality control processes
• Conditions for proceeding, including verification of home addresses and authentication of client identities