Social Security

Form 8647 (June 2025) is a structured assessment tool used by Local Intellectual and Developmental Disability Authorities (LIDDAs) in Texas. Its purpose is to evaluate the level of service coordination a person needs across several key life domains: rights and legal status, physical health, emotional and behavioral health, and independent living skills. While the form looks straightforward, it plays a critical role in determining the type and intensity of support a person receives — which means accurate, thoughtful completion is essential.

The TX HHS Form 8638, Criminal Offenses Reporting Requirements, helps solve the problem of ensuring that volunteers in certain facilities report any criminal offenses or related matters to the facility's director. This form is typically used by volunteers who are required to disclose their arrest history, guilty pleas, and other relevant information.

The TX HHS Form 8637, Internship Performance Evaluation, is a practical tool for assessing the performance of interns participating in volunteer and community engagement programs. This form helps solve the problem of evaluating an intern's progress and identifying areas for improvement throughout their internship.

The TX HHS Form 8636, Volunteer/Intern Assignment Description, is a crucial document that helps organizations streamline the process of assigning volunteers or interns to specific roles. This form serves as a comprehensive guide for outlining job responsibilities, requirements, and expectations, ensuring a clear understanding between the organization and the volunteer/intern.

The TX HHS Form 8630, Local Intellectual and Developmental Disability Authority (LIDDA) Continuity of Care, is a pre-move site review instrument designed to ensure continuity of care for individuals with intellectual or developmental disabilities. This form helps solve the problem of ensuring that community settings meet specific criteria for providing necessary services and supports.

The TX HHS Form 8628, Acknowledgement of Ombudsman Access to Confidential Record, is a crucial document that facilitates the sharing of confidential resident information between certified ombudsmen or the State Ombudsman and long-term care facilities. This form helps resolve issues related to access and confidentiality by providing a standardized framework for authorized parties to obtain and utilize resident records.

The TX HHS Form 8627, Request for Review of Individual Plan of Care (IPC) Cost Over Maximum Cost Ceiling Cover Sheet, is a crucial document that helps resolve issues related to excessive costs in individual care plans. This form is typically used by healthcare providers and caregivers who need to request a review of an IPC's cost when it exceeds the maximum cost ceiling.

The TX HHS Form 8626, Media Release Authorization to Photograph or Record a Resident of a Nursing or Assisted Living Facility, is a crucial document for individuals residing in these facilities. This form grants permission to photograph or record the resident for various purposes, including program development, reports, education, and promotion.

The TX HHS Form 8625-M, "Designation of a Long-Term Care Ombudsman as Representative and Request to Appeal a Medicaid Decision," is a crucial document for nursing facility or assisted living facility residents who want to request a hearing to appeal a Medicaid decision. This form allows the resident to designate a long-term care ombudsman as their representative, ensuring they receive proper representation throughout the appeals process.

The TX HHS Form 8625-D, Designation of a Long-Term Care Ombudsman as Representative and Request to Appeal a Nursing Facility Discharge, is a crucial document for resolving conflicts between nursing facility residents and the facilities themselves. This form enables a resident who disagrees with a facility's decision to discharge them to designate a long-term care ombudsman as their representative in the appeal process.