Texas Health and Human Services

The TX HHS Form 1048, Summary Sheet for Services to Individuals with IDD in a Nursing Facility, is a practical tool designed to track and document services provided to individuals with intellectual disability disorder (IDD) residing in nursing facilities. This form helps solve the problem of ensuring accurate and comprehensive record-keeping of services rendered, allowing for effective monitoring and evaluation of care.

The TX HHS Form 1049, Initial Documentation of Provider Choice, is a crucial document that helps individuals with intellectual and developmental disabilities (IDD) or their legally authorized representatives (LARs) make informed decisions about their care. This form is used in situations where an individual requires Home and Community-based Services (HCS) or Texas Home Living (TxHmL) services.

The TX HHS Form 1050, Nursing Facility or Crisis Diversion Plan, is a crucial document that helps address the needs of individuals with intellectual and developmental disabilities. This form is used in situations where an individual requires nursing facility or crisis diversion services, and it provides a framework for developing a personalized plan to meet their unique needs.

The TX HHS Form 1051, Request for Determination of Intellectual Disability (DID), is a crucial document that helps identify individuals with intellectual disabilities. This form is typically filled out by the Department of Family and Protective Services (DFPS) or other authorized entities to initiate the process of determining an individual's intellectual disability status.

The TX HHS Form 3216, Psychiatric Hospital License Application, is a crucial document for psychiatric hospitals in Texas seeking to obtain or renew their license. This form helps solve the problem of ensuring that psychiatric hospitals meet the necessary standards and requirements to provide quality care to patients. Typically, hospital administrators or owners fill out this form.

The TX HHS Form 3217, Psychiatric Hospital License Renewal Application, is a crucial document for psychiatric hospitals in Texas to maintain their licensure. This form helps solve the problem of ensuring compliance with state regulations and standards for providing quality care to patients. The application is typically used by psychiatric hospitals seeking to renew their license, which is required to operate legally.

The TX HHS Form 3218, Multiple Location Psychiatric Hospital License Application, is a crucial document for psychiatric hospitals seeking to obtain or renew a license in Texas. This form helps solve the problem of ensuring that psychiatric hospitals meet the necessary standards and requirements for providing quality care to patients.

The TX HHS Form 3219 is a Multiple Location Psychiatric Hospital License Renewal Application that helps solve the problem of renewing licenses for private psychiatric hospitals in Texas. This form is typically used by hospital administrators to provide information about their facilities and services, ensuring compliance with state regulations.

The TX HHS Form 3220, COVID-19 Response Off-Site Facility Application, is a crucial tool for healthcare facilities seeking to provide services off-site during the COVID-19 pandemic. This form helps solve the problem of ensuring that off-site facilities meet necessary requirements and guidelines, allowing them to continue providing essential care while minimizing risks.

The TX HHS Form 1052, Public Provider Choice Request, is a crucial document for individuals seeking Home and Community-based Services (HCS) through the Texas Health and Human Services (HHS). This form helps solve the problem of selecting a suitable program provider for intellectual and developmental disabilities services. It is typically used by individuals with intellectual or developmental disabilities who require HCS to support their daily living needs.