The TX HHS Form H1706, Good Cause Recommendation and Family Violence Exemption, is a crucial document that helps address domestic violence as a barrier to cooperating with child support or providing other information. This form is typically used by domestic violence specialists who have interviewed individuals regarding their experiences with domestic violence.
The TX HHS Form H1701, Child Support, TANF Foster Care, and TANF/Medicaid Case Information Exchange, is a crucial tool for facilitating communication between parties involved in child support cases. This form helps resolve issues related to absent parents' responsibilities towards their children, ensuring that necessary information is shared and actions are taken accordingly.
The TX HHS Form H1700-A1, Certification of Completion/Delivery of STAR+PLUS HCBS Program Items/Services, is a crucial document that helps ensure the satisfactory completion of healthcare services for individuals enrolled in the STAR+PLUS Home and Community-Based Services (HCBS) program. This form is typically used by Member Representatives or caregivers to certify the delivery of specific program items/services, such as adaptive aids, emergency response services, or minor home modifications.
The Individual Service Plan Signature Page (Form H1700-3) is a crucial document that helps solve the problem of ensuring individuals receive necessary services to meet their assessed medical, functional, and cognitive needs. This form is typically used in situations where an individual requires Home and Community-Based Services (HCBS) through the STAR+PLUS program. The applicant or member, along with their authorized representative or service coordinator, fills out this form to acknowledge review of the waiver services and accept a person-centered service plan.
The Individual Service Plan Addendum (Form H1700-2) is a crucial document for individuals receiving services under the STAR+PLUS Home and Community-Based Services (HCBS) program in Texas. This form helps to identify necessary services and benefits for applicants or members, ensuring that their unique needs are met.
The STAR+PLUS HCBS Program Individual Service Plan Form H1700-1 is a crucial document for individuals entering the Texas Health and Human Services (HHS) program. This form helps solve the problem of creating a personalized plan for each participant's healthcare needs, outlining their goals, services, and budget.
The Treatment Verification Form H1551, issued by Texas Health and Human Services (HHS), is a crucial document for individuals receiving Medicaid benefits for breast and cervical cancer treatment. This form helps verify the patient's medical needs to determine continued eligibility for services.
Form H1238 is used by state assistance agencies to verify the details of an individual’s life insurance policies. When someone applies for public benefits, certain types of insurance may affect eligibility or benefit amounts. This form allows the caseworker to request verified policy information directly from an insurance company, ensuring that the agency receives accurate, up-to-date financial data.
The TX HHS Form H1550, Out of State NBCCEDP Verification, is a crucial document that helps verify the eligibility of individuals participating in the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) outside of Texas. This form is typically used by healthcare providers, medical facilities, or organizations involved in breast and cervical cancer detection and treatment.
The TX HHS Form H1350, Opportunity to Register to Vote, is a crucial document that helps individuals register to vote in the state of Texas. This form is typically filled out by individuals who are not currently registered to vote where they live.
