The TX HHS Form 3219 is a Multiple Location Psychiatric Hospital License Renewal Application that helps solve the problem of renewing licenses for private psychiatric hospitals in Texas. This form is typically used by hospital administrators to provide information about their facilities and services, ensuring compliance with state regulations.
The TX HHS Form 3220, COVID-19 Response Off-Site Facility Application, is a crucial tool for healthcare facilities seeking to provide services off-site during the COVID-19 pandemic. This form helps solve the problem of ensuring that off-site facilities meet necessary requirements and guidelines, allowing them to continue providing essential care while minimizing risks.
The TX HHS Form 1052, Public Provider Choice Request, is a crucial document for individuals seeking Home and Community-based Services (HCS) through the Texas Health and Human Services (HHS). This form helps solve the problem of selecting a suitable program provider for intellectual and developmental disabilities services. It is typically used by individuals with intellectual or developmental disabilities who require HCS to support their daily living needs.
The Public Provider Choice Request form (TX HHS Form 1052) helps solve the problem of requesting enrollment or transfer to a public program for Home and Community Services (HCS) or Texas Home Living (TxHmL) with a local intellectual disability and developmental authority. This form is typically used by local authorities when accepting individuals into their programs, whether through initial enrollment or transfer.
The TX HHS Form 1053, Local Intellectual and Developmental Disabilities Authorities (LIDDA) Transition Plan, is a crucial document that helps facilitate the transition of individuals with intellectual and developmental disabilities from one community-based program to another. This form is typically used in situations where an individual's needs require a change in their support system, such as when they are moving into a new home or changing their living arrangement.
The TX HHS Form 1054, Community Living Options, is a crucial document for individuals with intellectual and developmental disabilities who are considering transitioning from institutional care to community living. This form helps facilitate the PASRR Evaluation process, ensuring that individuals receive necessary support and services to thrive in their chosen environment.
The TX HHS Form 1055, LIDDA State Supported Living Center (SSLC) Transition Reporting, is a crucial tool for tracking the transition of individuals with intellectual or developmental disabilities from an SSLC to community-based services. This form helps ensure that essential supports are in place and monitored during the transition period, ensuring a smooth and successful move.
The TX HHS Form 1056, Case Transfer Letter, is a practical tool that facilitates the transfer of Health and Human Services case files between offices. This form helps streamline the process by providing a standardized format for conveying essential information about the transferred case.
The TX HHS Form 1057, Habilitation Service Plan (HSP), helps solve the problem of creating a personalized plan for individuals with intellectual and developmental disabilities. This form is used by Local Intellectual and Developmental Disabilities Authorities (LIDDA) to coordinate habilitation services while an individual resides in a nursing facility.
The TX HHS Form 1058, Request for Home and Community-based Services Crisis Diversion Slot, is a crucial tool for individuals with intellectual or developmental disabilities who require urgent support. This form helps address crisis situations where immediate assistance is needed to prevent hospitalization, institutionalization, or other adverse outcomes.
