Texas Health and Human Services

TX HHS Form 2805. Youth Empowerment Services Waiver - Comprehensive Service Provider (CSP) and Wraparound Provider Organization (WPO) Selection

TX HHS Form 2805. Youth Empowerment Services Waiver - Comprehensive Service Provider (CSP) and Wraparound Provider Organization (WPO) Selection

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.

TX HHS Form 2806. Authorization of Youth Empowerment Services (YES) Waiver Services

TX HHS Form 2806. Authorization of Youth Empowerment Services (YES) Waiver Services

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.

TX HHS Form 2405. Affidavit for Risk Evaluation by Child Placing Agency

TX HHS Form 2405. Affidavit for Risk Evaluation by Child Placing Agency

Form 2405 — Affidavit for Risk Evaluation by Child Placing Agency — is a mandatory document used in Texas when a foster or adoptive home includes (or plans to include) a person with a criminal history or a record in the Texas Central Registry. The goal of this affidavit is not to grant automatic approval but to allow a child-placing agency to formally explain why this individual does not pose a danger to children in care.

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TX HHS Form 2084. Risk Management Team Meeting Summary

TX HHS Form 2084. Risk Management Team Meeting Summary

The TX HHS Form 2084, Risk Management Team Meeting Summary, is a crucial document for healthcare professionals to record and track risk management team meetings. This form helps solve the problem of ensuring that individual circumstances and conditions are assessed and addressed in a timely manner. It is typically used in situations where an individual's health and well-being are at risk due to various factors such as medical conditions or environmental hazards.

TX HHS Form 2097. Provider Contract Assignment Notification

TX HHS Form 2097. Provider Contract Assignment Notification

The TX HHS Form 2097, Provider Contract Assignment Notification, is a crucial document that helps resolve changes in provider contracts for individuals receiving services from the Texas Health and Human Services Commission. This form notifies providers of changes to their contract, which may result from changes in business ownership, complete changes in ownership, or changes in the provider's license.

TX HHS Form 2101. Authorization for Community Care Services

TX HHS Form 2101. Authorization for Community Care Services

The TX HHS Form 2101, Authorization for Community Care Services, is a crucial document that enables individuals to authorize community care services for their personal needs. This form helps solve the problem of securing necessary support services for daily living activities, such as bathing, feeding, and grooming, by providing a standardized authorization process.

TX HHS Form 2110. Community Care Intake

TX HHS Form 2110. Community Care Intake

The TX HHS Form 2110, Community Care Intake, is a crucial document that helps solve the problem of assessing an individual's needs for community care services. This form is typically used in situations where an individual requires assistance with daily living activities or has complex healthcare needs. The form is usually filled out by the individual themselves, or on their behalf by a caregiver or social worker.