TX HHS Form H2060-B. Needs Assessment Addendum

The Texas Health and Human Services Needs Assessment Addendum Form H2060-B is a tool designed to gather essential information about an individual's needs, abilities, and circumstances. This form helps identify potential barriers or challenges that may impact the well-being of the applicant/member, allowing for targeted support and services.

This addendum form requires specific information from the applicant/member, including their name, Medicaid ID number, and relationship to the person responding. It also asks about active diagnoses, communication abilities, and any difficulties with managing daily tasks or expenses. The form is typically used in situations where an individual's needs have changed or require reassessment, such as during annual reevaluations or when there has been a change in services.

The form is designed to be completed by the person responding on behalf of the applicant/member, providing insight into their abilities and limitations. Key features include questions about communication, understanding, and potential barriers that may impact daily life. By completing this addendum form, individuals can receive targeted support and services that address their unique needs.

• This form is used to identify potential barriers or challenges impacting the well-being of an individual.
• It requires specific information from the applicant/member, including name, Medicaid ID number, and relationship to the person responding.
• The form is typically used in situations where an individual's needs have changed or require reassessment.