TX HHS Form H1901. TIERS Data Collection Worksheet

The TX HHS Form H1901, TIERS Data Collection Worksheet, is a practical tool designed to collect essential information for case management and decision-making in various situations. This form helps solve the problem of accurately gathering individual data and relationships, which is crucial for providing effective support and services.

This worksheet requires specific information, including case name and number, action type, file date, and notice language. It also collects demographic details such as person interviewed, date of birth, ethnicity, and social security number or railroad retirement account number (if applicable). The form is typically used in situations where individual data needs to be collected, such as during the application process for Medicaid or other programs.

The TIERS Data Collection Worksheet is designed to facilitate accurate and efficient data collection. Key features include required information fields, which ensure that essential details are captured, and conditions for specific procedures, such as verifying identity and relationship status. By using this form, case managers and service providers can streamline their processes, improve decision-making, and provide better support to individuals in need.

• This form is used in situations where individual data needs to be collected, such as during the application process for Medicaid or other programs.
• Required information fields ensure that essential details are captured.
• The form facilitates accurate and efficient data collection, streamlining processes and improving decision-making.