The STAR Kids Individual Service Plan - Service Tracking Tool (Form 2604) is a practical tool designed to help facilitate the delivery of services to medically dependent children in Texas. This form is used to track individual service plans and monitor progress towards achieving specific goals and objectives.
The TX HHS Form 2605, Member SK-SAI MDCP Review Signature, is a crucial document for reviewing the assessment results of the STAR Kids Screening and Assessment Instrument (SK-SAI). This form helps solve the problem of ensuring that member information is accurately captured and reviewed by the managed care organization.
The TX HHS Form 2606, Managed Care Enrollment Processing Delay, helps resolve processing delays in managed care enrollment for various programs, including Home and Community Based Services (HCBS) and Medically Dependent Children Program (MDCP). This form is typically used by individuals who have experienced a delay in their application processing.
The TX HHS Form 2700, Application for a Treatment Decision by a Surrogate Consent Committee, is a crucial document that helps solve the problem of obtaining treatment decisions for individuals with intellectual disabilities or related conditions. This form is typically used in situations where an individual is unable to make their own medical decisions and requires a surrogate consent committee (SCC) hearing.
The TX HHS Form 2705, "Certification of Need for Major Medical Treatment", is a crucial document that helps healthcare professionals navigate the process of obtaining approval for major medical treatment or procedures. This form is typically used in situations where patients require complex or innovative treatments that may not be covered by standard insurance plans.
The TX HHS Form 1022 is a crucial document that enables individuals to authorize the disclosure of their health information for referral purposes. This form helps solve the problem of facilitating communication between healthcare providers, social services agencies, and other organizations involved in an individual's care. Typically, this form is completed by the individual themselves or their personal representative.
The TX HHS Form 1023, Request for Services Funded by General Revenue, is a crucial document that helps solve the problem of ensuring the health and safety of individuals who require specialized services. This form is typically used in situations where an individual's health and safety cannot be protected within the established waiver cost limit for a specific program.
Form 1024, titled Individual Status Summary, is an official Texas Health and Human Services document used to justify situations where an individual’s services exceed established cost limits under certain Medicaid waiver programs. The form must be completed by a Registered Nurse (RN) and plays a critical role in documenting health, safety, and service necessity considerations for individuals receiving long-term services and supports.
Form 1025, titled Request for Information – Medicare Advantage Coordination, is an official Texas Health and Human Services Commission (HHSC) document used to verify community-based services received by an individual. The form plays a coordination role between HHSC, managed care plans, service providers, and relocation coordinators when an individual is receiving, resuming, or transitioning community services, including cases involving nursing facilities.
The TX HHS Form 1026, Verification of Railroad Retirement Benefits, is a crucial document that helps solve the problem of verifying retirement benefits received by individuals. This form is typically used in situations where an individual's eligibility for assistance or services is being evaluated, and their railroad retirement benefits need to be verified. The form is usually completed by the individual receiving the benefits, with the assistance of a Railroad Retirement Board representative.
