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

The TX HHS Form H2065-A, Notification of Community Care Services, is a crucial document for individuals receiving community care services. This form helps notify the relevant authorities of any changes in one's circumstances, ensuring that essential services are not disrupted.

This notification form requires users to provide specific information, including their income, assets, address, and situation. It also outlines important conditions, such as the need to report any changes within 10 days of occurrence. Additionally, the form highlights scenarios where the service being received will change, including a possible increase in copayment starting from [date].

Form H2065-A is an essential tool for individuals receiving community care services, ensuring that their needs are met and that they remain eligible for these vital services. The form's practical application lies in its ability to facilitate timely notifications and changes, ultimately promoting continuity of care. For more information on the user's rights, please refer to page 2.