Texas Health and Human Services

The TX HHS Form 2333, Nursing Facility Risk Criteria Scoring Form, is a practical tool designed to help identify individuals who may require nursing facility placement. This form is typically used in situations where an individual's risk factors need to be assessed to determine their eligibility for nursing facility care. The form is usually filled out by case managers or healthcare professionals who are responsible for evaluating the individual's needs and making decisions about their care.

The TX HHS Form 2349, Second Level Appeal of Provider Investigation Finding, is a crucial document for healthcare providers seeking to challenge the findings of an investigation conducted by the Texas Health and Human Services (HHS) Provider Investigations program. This form allows providers to formally request an appeal of the investigation finding from the Director of HHSC PI.

The TX HHS Form 2356, Referral for HCS Aging Out of CPS Conservatorship Slot, is a crucial document that helps facilitate the transition of individuals with intellectual or developmental disabilities from Child Protective Services (CPS) conservatorship to Home and Community-Based Services (HCS). This form is typically used when an individual is aging out of CPS conservatorship and requires alternative care arrangements.

The TX HHS Form 2357, DFPS Records Check, is a crucial document used to verify the status of an individual as a validated perpetrator of abuse, neglect, or exploitation against an elderly or disabled person. This form helps solve the problem of ensuring that individuals who have been involved in such incidents are properly identified and their potential impact on adult foster care providers assessed.

Form 2327 is a formal agreement used in Texas Adult Foster Care (AFC) services to document the rights, responsibilities, and financial arrangements between an individual or member and an Adult Foster Care provider. The form establishes clear expectations for care, payment, and living arrangements during the covered period and serves as an essential record for compliance with Texas Health and Human Services Commission requirements.

The TX HHS Form 1743 Transfer Information TxHLP is a crucial document that facilitates the transfer of Consumer Directed Services (CDSA) information between individuals or entities. This form helps resolve issues related to service continuity and ensures a seamless transition of support services for home living and respite care.

The TX HHS Form 1744, TxHmL/CFC Entrance Conference, is a crucial document that facilitates the entrance conference process for Texas Home Living (TxHmL) and Community First Choice (CFC) providers. This form helps ensure a smooth transition by gathering essential information about the provider, their staff, and the services they offer.

The TX HHS Form 1745, Service Delivery Log with Written Narrative/Written Summary, is a crucial document for tracking service delivery in Consumer Directed Services. This form helps employers and service providers maintain accurate records of services provided to individuals, ensuring compliance with Medicaid regulations.

The TX HHS Form 1747, Acknowledgement of Nursing Requirements, is an essential document for healthcare professionals in Texas. This form helps ensure that nurses hired by Consumer Directed Services (CDS) employers meet the necessary requirements to provide nursing services.

The TX HHS Form 1748, HCS/CFC Entrance Conference, is a crucial document that helps solve the problem of ensuring compliance with regulations for Home and Community-based Services (HCS) and Community First Choice (CFC) providers. This form is typically used during an entrance conference to initiate a survey or inspection process.