Texas Health and Human Services

TX HHS Form 1050. Nursing Facility or Crisis Diversion Plan

TX HHS Form 1050. Nursing Facility or Crisis Diversion Plan

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.

TX HHS Form 1051. Request for Determination of Intellectual Disability (DID)

TX HHS Form 1051. Request for Determination of Intellectual Disability (DID)

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.

TX HHS Form 3216. Psychiatric Hospital License Application

TX HHS Form 3216. Psychiatric Hospital License Application

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.

TX HHS Form 3217. Psychiatric Hospital License Renewal Application

TX HHS Form 3217. Psychiatric Hospital License Renewal Application

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.

TX HHS Form 3218. Multiple Location Psychiatric Hospital License Application

TX HHS Form 3218. Multiple Location Psychiatric Hospital License Application

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.

TX HHS Form 3219. Multiple Location Psychiatric Hospital License Renewal Application

TX HHS Form 3219. Multiple Location Psychiatric Hospital License Renewal Application

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.

TX HHS Form 3220. COVID-19 Response Off-Site Facility Application

TX HHS Form 3220. COVID-19 Response Off-Site Facility Application

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.

TX HHS Form 1052. Public Provider Choice Request

TX HHS Form 1052. Public Provider Choice Request

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.

TX HHS Form 1052. Public Provider Choice Request

TX HHS Form 1052. Public Provider Choice Request

The Public Provider Choice Request form (TX HHS Form 1052) helps solve the problem of requesting enrollment or transfer to a public program for Home and Community Services (HCS) or Texas Home Living (TxHmL) with a local intellectual disability and developmental authority. This form is typically used by local authorities when accepting individuals into their programs, whether through initial enrollment or transfer.

TX HHS Form 1053. Local Intellectual and Developmental Disabilities Authorities (LIDDA) Transition Plan

TX HHS Form 1053. Local Intellectual and Developmental Disabilities Authorities (LIDDA) Transition Plan

The TX HHS Form 1053, Local Intellectual and Developmental Disabilities Authorities (LIDDA) Transition Plan, is a crucial document that helps facilitate the transition of individuals with intellectual and developmental disabilities from one community-based program to another. This form is typically used in situations where an individual's needs require a change in their support system, such as when they are moving into a new home or changing their living arrangement.