Social Security

Form 8511 is used in Texas to help individuals and families understand the eligibility rules and core service principles for the Home and Community-based Services (HCS) Program and the Texas Home Living (TxHmL) Program. These programs support people with intellectual disabilities or related conditions, allowing them to receive care in community settings instead of institutional facilities. This form is typically reviewed with the applicant during the eligibility process and requires initials to confirm that all information has been explained and understood.

The TX HHS Form 8515, Guidelines for Determining Less Restrictive Setting, is a crucial document that helps solve the problem of determining the most suitable environment for individuals with intellectual and developmental disabilities. This form is typically used in situations where an individual's level of need requires reassessment or when transitioning from one setting to another. The person or their legally authorized representative (LAR) fills out this form to provide information about their preferences, service history, and current needs.

The TX HHS Form 8510, HCS/TxHmL CFC PAS/HAB Assessment, is a crucial tool for healthcare professionals to assess the needs of individuals with intellectual or developmental disabilities. This form helps solve the problem of determining the level of personal assistance services (PAS) required by an individual, taking into account their functional impairment and daily activities.

Form 8509 is used in healthcare settings to document tasks that a Registered Nurse (RN) delegates to unlicensed personnel. Although the form itself appears brief, it plays an important regulatory role: it creates a written trail of responsibility, clarifies who performed what task, and ensures that delegation follows state nursing rules. This type of documentation protects patients, unlicensed staff, and supervising nurses by establishing accountability and showing compliance with delegation standards.

The TX HHS Form 8507, "CLASS or DBMD Understanding Program Eligibility," is a crucial document that helps individuals understand their eligibility for the Community Living Assistance and Support Services (CLASS) and Deaf Blind with Multiple Disabilities (DBMD) programs. This form is typically used in situations where an individual needs to determine whether they meet the requirements for waiver program eligibility.

Form 8495 is a professional nursing determination used in Texas to document the exclusion of a Host Home or Companion Care (HH/CC) provider from the Board of Nursing (BON) definition of an unlicensed person. The form records a registered nurse’s assessment that a specific HH/CC provider meets strict regulatory criteria allowing them to assume certain health-related responsibilities without being classified as unlicensed nursing staff.

The TX HHS Form 8496, HCBS-AMH Program On-Site Settings Assessment Tool, is a practical tool designed to help assess the suitability of Host Home/Companion Care (HH/CC) settings for participants in the Texas Health and Human Services Commission's (HHSC) HCBS-AMH program. This form is typically used by HHSC HCBS-AMH staff during on-site assessments of provider-owned or controlled HH/CC settings where the provider is not a family member of the participants.

The TX HHS Form 8494, Notification Regarding an Investigation of Abuse, Neglect or Exploitation, is a crucial document for long-term care providers to report allegations of abuse, neglect, or exploitation in their facilities. This form helps solve the problem of ensuring timely and accurate reporting of incidents, which is essential for maintaining the health and well-being of residents.

Form 8493 is an official incident notification document used by Texas Medicaid waiver program providers to report the death of an individual receiving services. It applies to the Home and Community-based Services (HCS), Texas Home Living (TxHmL), and Deaf Blind with Multiple Disabilities (DBMD) programs.

The TX HHS Form 8492, Random Sample Review of Nursing On-Call Required Submission of Documentation, is a crucial tool for Home and Community-based Services (HCS) and Texas Home Living (TxHmL) providers. This form helps ensure that required documentation is submitted to the Texas Health and Human Services (HHS) within five business days after receipt.