The TX HHS Form 2727, Waiver of Designation as Surrogate Decision Maker, is a crucial document that helps individuals waive their right to serve as a surrogate decision maker for another person. This form is typically used in situations where an individual has been designated by a facility's interdisciplinary team to make decisions on behalf of another person, but they no longer wish to fulfill this role.
TX HHS Form 2749, "Submitting an Application Packet for a Treatment Decision," helps individuals or their surrogates request treatment decisions from the Texas Health and Human Services (HHS) Consent Committee. This form is used in situations where medical treatment is required, but the individual lacks capacity to provide informed consent.
The TX HHS Form 2750, Surrogate Decision Making Program Data Form, is a crucial tool for Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID) Representatives. This form helps solve the problem of ensuring that surrogate decision-making arrangements are in place for individuals who lack the capacity to make their own medical decisions. The form is typically used in situations where an individual's healthcare provider needs to determine a surrogate decision maker, and it provides a standardized way to collect essential information.
The TX HHS Form 2800, Notice of Denial - Eligibility, is a crucial document that helps resolve issues related to the denial of Youth Empowerment Services (YES) Waiver program benefits for children or adolescents with severe emotional disturbance. This form is typically used in situations where an organization has reviewed eligibility and determined that YES Waiver services are not applicable.
The TX HHS Form 2801, Youth Empowerment Services Waiver Fair Hearing Request, is a crucial document for individuals seeking to appeal decisions related to their child's YES Waiver benefits. This form helps solve the problem of contesting actions on YES Waiver benefits, such as denial, suspension, reduction, or discharge.
The TX HHS Form 2802, Youth Empowerment Services (YES) Waiver Notice of Participant Rights, is a crucial document that helps ensure the well-being and autonomy of participants in the YES Waiver Program. This form is typically used when an individual enrolls in the program or updates their information.
The TX HHS Form 2803, Critical Incident Report, is a crucial document for reporting critical incidents related to the Youth Empowerment Services (YES) Waiver. This report helps ensure that all known critical incidents are documented and submitted to the YES Waiver Team within 72 hours of being notified.
The TX HHS Form 2805, Youth Empowerment Services Waiver - Comprehensive Service Provider (CSP) and Wraparound Provider Organization (WPO) Selection, is a crucial document that helps solve the problem of selecting a CSP/WPO provider for ongoing youth empowerment services. This form is typically used in situations where an individual or their legally authorized representative needs to choose a CSP/WPO provider from a list of available agencies.
The TX HHS Form 2806, Authorization of Youth Empowerment Services (YES) Waiver Services, is a crucial document that enables the provision of specialized services to eligible youth. This form authorizes the receipt of YES Waiver services, which include respite, community living supports, and other essential services designed to empower young individuals.
Form 2464 is a Texas Health and Human Services rehabilitative services request used by nursing facilities and therapy providers to request authorization for physical, occupational, or speech therapy services for Medicaid recipients. The form documents medical eligibility, current functional status, and measurable therapy goals to determine whether rehabilitative therapy is appropriate and authorized under Medicaid program rules.
