The TX HHS Form H2581, Choices Noncooperation Report, helps resolve issues related to non-participation or lack of cooperation from clients in the Temporary Assistance for Needy Families (TANF) program. This form is used by Choices staff to document instances where a client fails to participate or respond to outreach efforts, leading to the imposition of sanctions.
Form H2340-OS is designed for women who have participated in the Medicaid for Breast and Cervical Cancer program in another state and have moved to Texas. This application ensures continuity of benefits and allows eligible applicants to access coverage for breast and cervical cancer treatments under Texas Medicaid. The form must be completed accurately to avoid delays or denial of benefits.
The TX HHS Form H2580, TANF Employment Services Notice, is a crucial document that helps individuals receiving Temporary Assistance for Needy Families (TANF) benefits navigate the employment services program. This notice provides essential information about the assistance provided by the Texas Health and Human Services Commission (HHSC), which aims to support recipients in achieving financial stability.
The TX HHS Form H2118, STAR+PLUS HCBS Program Interest List Confirmation of Continued Interest, is a crucial document that helps individuals maintain their place on the interest list for Home and Community Based Services (HCBS) program. This form is typically used in situations where an individual's continued interest in the program needs to be confirmed.
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.
The TX HHS Form H2076, Authorization to Release Medical Information, is a crucial document that helps facilitate the sharing of medical information between healthcare providers, Texas Health and Human Services (HHS), and other authorized parties. This form is typically completed by clients or patients who need to authorize the release of their medical records for purposes such as determining eligibility for services or treatment.
The TX HHS Form H2067-MC, Managed Care Programs Communication, is a crucial document that helps facilitate communication between healthcare providers, managed care organizations (MCOs), and Texas Health and Human Services (HHS). This form is used in situations where there are changes or updates to an individual's healthcare services, such as a change in address, service delivery area (SDA), MCO, or medical necessity.
The TX HHS Form H2067, Case Information, helps social workers and case managers track essential details about individuals receiving services from Texas Health and Human Services (HHS). This form is typically used in situations where a change in circumstances or address requires updates to an individual's case information.
The TX HHS Form H2065-D, Notification of Managed Care Program Services, is a crucial document for individuals who are eligible to receive services from the Home and Community Based Services (HCBS) Program or the Medically Dependent Children Program (MDCP). This form serves as a notification of the services identified on an individual's Individual Service Plan (ISP), which are effective through a specified date, as long as they remain eligible for the program.
The TX HHS Form H2065-A, Notification of Community Care Services, helps individuals notify the Texas Health and Human Services (HHS) of changes in their community care services. This form is typically used by caseworkers or administrators to inform clients of service changes, including copayment adjustments.
