The TX HHS Form 3080, SSI Appellant Notification, helps resolve claims for Medicaid-covered services provided to Supplemental Security Income (SSI) appellants. This form is used in situations where a county or local government entity needs to notify the Texas Health and Human Services Commission (HHSC) of the services rendered to an SSI recipient.
The TX HHS Form 3081, Appellant Provider Assignment, is a crucial document for individuals appealing Social Security denial decisions. This form helps resolve the issue of recovering costs related to health care services provided by the county and any third-party providers.
The TX HHS Form 1042, Pre-Move Site Review, is a crucial tool for ensuring a smooth transition or diversion of individuals from nursing facilities, medium or large community ICF/IID settings, or those receiving Home and Community-based Services (HCS) crisis diversion slots. This form helps identify essential supports that must be in place before the individual's transition or diversion.
The TX HHS Form 1043, Post-Move Monitoring, is a crucial document that helps ensure the successful transition of individuals with intellectual or developmental disabilities from institutional settings to community-based care. This form is used in situations where individuals have transitioned or diverted from nursing facilities, medium or large community ICFIIID, or received Home and Community-based Services (HCS) crisis diversion slots.
The TX HHS Form 1044, Refusal of Habilitation Coordination, is a document used by individuals or their legally authorized representatives to decline habilitation coordination services. This form helps solve the problem of unwanted or unnecessary involvement in habilitation coordination processes, allowing individuals to opt out and maintain control over their care.
The TX HHS Form 1045, Request for Extension of Enrollment Offer Due Date, is a crucial document that helps individuals with intellectual and developmental disabilities (IDD) or related conditions request an extension on their enrollment offer due date. This form is typically used by the Local Intellectual and Developmental Disability Authority (LIDDA) to facilitate the enrollment process in Home and Community-based Services (HCS) and Texas Home Living (TxHmL). The form is usually completed by a representative of LIDDA or an individual with IDD.
Form 1046 is a standardized document used by Local Intellectual and Developmental Disability Authorities (LIDDAs) in Texas to request a Home and Community-based Services (HCS) Adult Nursing Facility (NF) Transition Slot for an eligible individual. The form is an essential part of the transition process for adults with intellectual or developmental disabilities who currently reside in a nursing facility but wish to move to a community-based setting. It provides HHSC with the key information required to determine eligibility and allocate available transition slots.
The TX HHS Form 2961, Request to Accept Children from Law Enforcement, is a crucial document for child placing agencies seeking to receive emergency admissions from law enforcement. This form helps solve the problem of ensuring that these agencies are properly verified to accept children in emergency situations.
Form 2962, “Verification of Liability Insurance,” is a document used by child care operations in Texas to confirm whether they maintain liability insurance as required under the Texas Human Resources Code (HRC) §§42.049 and 42.0495. This form is part of Texas’s broader framework for ensuring the safety of children in licensed, registered, and listed child care settings. It is submitted either during the application process or annually thereafter, depending on the type of operation.
The TX HHS Form 2963, "Admission of a Child from a Law Enforcement Officer," is a crucial document for recording essential information about children who are admitted to emergency shelters or child-placing agencies. This form helps solve the problem of ensuring that vital details about the child and their family are accurately documented in situations where law enforcement officers bring children into custody.
