Texas

The TX HHS Form 8612, TAS/MHM Payment Exception Request, is a crucial document for healthcare providers in Texas. It helps resolve payment issues by requesting reimbursement for Transition Assistance Services (TAS) and/or Pre-Enrollment Minor Home Modifications (MHMs) that have been previously approved by the Texas Health and Human Services Commission (HHSC). This form is typically used when an applicant's enrollment into a Home and Community-based Services (HCS) program has not occurred, or when there are discrepancies in payment.

The TX HHS Form 8611, Pre-Enrollment MHM Authorization Request, is a crucial document for individuals seeking minor home modifications (MHMs) prior to enrollment in the Home and Community-based Services (HCS) Program. This form helps facilitate the authorization process by providing essential information about the requested MHM and assessments.

The TX HHS Form 8610, State Long-term Care Ombudsman Program Certified Ombudsman II Recommendation and Approval, is a crucial document that facilitates the promotion of certified ombudsmen in Texas. This form helps solve the problem of ensuring that qualified individuals are recognized as Certified Ombudsman IIs, enabling them to continue providing essential services to long-term care facilities.

The TX HHS Form 8609, State Long-Term Care Ombudsman Program Complaint for Regulatory Services Investigation, is a crucial tool for resolving issues related to long-term care facilities in Texas. This form helps address concerns about nursing facilities, assisted living facilities, or other providers that provide care and services to residents.

The Conflict of Interest Screening of a Representative of the Office Form 8607 is a crucial tool for ensuring the integrity and credibility of the Texas Long-Term Care Ombudsman Program. This form helps identify potential conflicts of interest that may impact the effectiveness of the program's work, particularly in situations where ombudsmen or interns have competing interests.

Form 8584-CDS is a comprehensive nursing assessment and plan of care used in the Consumer Directed Services (CDS) option of the Home and Community-based Services (HCS) program. A Registered Nurse (RN) performs the assessment to document medical history, current status, nursing needs, and to determine safe medication and task delegation for individuals receiving CDS.

Purpose of Form 8584-CDS

The form documents a full nursing review used to:

The TX HHS Form 8606-A, Therapy Justifications Attachment to IPP, is a crucial document that helps solve the problem of justifying therapy services for individuals with specific qualifying conditions. This form is typically used in situations where an individual requires skilled or specialized therapy to address their needs and goals.

The Individual Program Plan (IPP) Form 8606 is a crucial document for individuals receiving Community Living Assistance and Support Services (CLASS) or Community First Choice (CFC) from the Texas Health and Human Services (HHS). This form helps solve the problem of creating a personalized plan for each individual's care, outlining their specific needs and services.

Form 8605 is an official Texas Health and Human Services document used to confirm that a purchase or modification funded through certain Medicaid waiver programs has been completed and reviewed. It serves as formal documentation that an individual received the approved item or service, that it meets identified needs, and that required inspections or training have taken place.

The Transition Assistance Services (TAS) Assessment and Authorization Form 8604, issued by Texas Health and Human Services (HHS), is designed to help Medicaid recipients who are facility residents discharged from a facility set up a household. The form assists in determining the necessary services for relocation to the community.