TX HHS Form H2111. Interested List Notification HCBS

The TX HHS Form H2111, Interested List Notification for HCBS, is a crucial document that helps individuals express their interest in the STAR+PLUS Home and Community-Based Services (HCBS) program. This form is typically used by applicants who are seeking alternative care options to nursing facility placement.

This notification letter informs the applicant that their name has been placed on an interest list for the STAR+PLUS HCBS program, which provides a range of services including personal assistance, meal preparation, bathing, and others. The letter outlines the next steps, stating that once the applicant's name reaches the top of the list, a staff member from the HHSC Program Support Unit will contact them to determine their eligibility for the program.

Key requirements outlined in this document include reporting any changes in contact information, such as address and telephone number, immediately. The letter also notes that HHSC will attempt to contact the applicant annually to confirm their continued interest in the STAR+PLUS HCBS program. Failure to respond may result in removal from the interest list.

• The form is used by applicants seeking alternative care options to nursing facility placement.
• The STAR+PLUS HCBS program provides a range of services, including personal assistance and meal preparation.
• Applicants must report changes in contact information immediately.
• HHSC will attempt to contact the applicant annually to confirm their continued interest in the program.