TX HHS Form H2065-A. Notification of Community Care Services

The TX HHS Form H2065-A, Notification of Community Care Services, helps individuals notify the Texas Health and Human Services (HHS) of changes in their community care services. This form is typically used by caseworkers or administrators to inform clients of service changes, including copayment adjustments.

Key features of this form include the requirement for clients to report any changes in their income, assets, address, or situation within 10 days of the change. The form also outlines the conditions under which services will be terminated, such as failure to meet eligibility requirements. Additionally, the form specifies that clients must pay a copayment fee and notify HHS of any changes.

This form is essential for individuals receiving community care services to ensure continuity of care and avoid service termination. Key points to note include:

• Changes in income, assets, address, or situation require notification within 10 days
• Copayment fees apply, with rates changing as services are adjusted
• Failure to meet eligibility requirements may result in service termination