TX HHS Form H1051-IME. Receipt of Durable Medical Equipment

The TX HHS Form H1051-IME, Receipt of Durable Medical Equipment, is a crucial document that helps individuals or authorized representatives confirm receipt of medical equipment. This form is essential for ensuring that the cost of the equipment can be deducted from nursing facility care expenses, also known as an "incurred medical expense deduction."

This form requires specific information to be provided, including the name and address of the recipient or authorized representative, the name and address of the place where the equipment was received, and the date of receipt. The form also needs to confirm whether the individual has received the medical equipment listed.

The TX HHS Form H1051-IME is used when an individual receives durable medical equipment and needs to provide proof of receipt to deduct the cost from nursing facility care expenses. This form should be completed by the recipient or authorized representative, and it must be signed and dated to confirm the accuracy of the information provided.