TX HHS Form H2067-MC. Managed Care Programs Communication

The TX HHS Form H2067-MC, Managed Care Programs Communication, is a crucial document that helps facilitate communication between healthcare providers, managed care organizations (MCOs), and Texas Health and Human Services (HHS). This form is used in situations where there are changes or updates to an individual's healthcare services, such as a change in address, service delivery area (SDA), MCO, or medical necessity.

This form requires specific information from the applicant/member, including their program name, SDA, and reason for communication. The form also includes sections for checking applicable categories, such as interest list release, change in address, or medical necessity denied date. Additionally, the form allows for reporting of events like admission to a nursing facility (NF), discharge from NF, or transfer to Community First Choice (CFC) program.

The Managed Care Programs Communication Form is essential for ensuring that healthcare services are delivered efficiently and effectively. By providing accurate and timely information, this form helps MCOs and HHS make informed decisions about an individual's healthcare needs. Key features of the form include required information sections, conditions for reporting events, and follow-up actions for updating records.

• This form is used in situations where there are changes or updates to an individual's healthcare services.
• The form requires specific information from the applicant/member, including program name, SDA, and reason for communication.
• The form includes sections for checking applicable categories, such as interest list release, change in address, or medical necessity denied date.