The TX HHS Form 1064, Habilitative Assessment, is a crucial tool for identifying an individual's habilitative needs that can be supported or enhanced with Preadmission Screening and Resident Review (PASRR) habilitative specialized services. This assessment helps solve the problem of determining an individual's unique requirements for habilitation services, which is essential for developing effective support plans.
The TX HHS Form 1065, Breast and Cervical Cancer Services (BCCS) Program or Family Planning Program (FPP) Eligibility Application, is a crucial document for individuals seeking to access essential healthcare services. This form helps solve the problem of determining eligibility for these programs by gathering necessary information about the applicant and their household.
The TX HHS Form 1066, Transfer Request for PASRR DME and CMWC, is a crucial document that facilitates the transfer of durable medical equipment (DME) or custom manual wheelchairs (CMWC) from one nursing facility to another. This form is specifically designed for nursing facility residents who have been identified as Preadmission Screening and Resident Review (PASRR) positive.
The TX HHS Form 1067, Offer of Home and Community-based Services (HCS) Program, helps individuals with intellectual or developmental disabilities access long-term care services. This form is used in situations where funding is available to offer the HCS program, which provides life-long support for changing needs.
The Texas Health and Human Services (HHS) Form 1068, Withdrawal of Offer for Home and Community-based Services (HCS) Program, is a notification form used to inform individuals that their offer to enroll in the HCS program has been withdrawn. This situation typically arises when an individual fails to respond within a specified timeframe or does not complete necessary activities to finalize enrollment.
The TX HHS Form 1069, Withdrawal of Offer of Texas Home Living Program, is a crucial document that helps individuals withdraw their offer to enroll in the Texas Home Living (TxHmL) program. This form is typically used when an individual's offer to participate in the TxHmL program has been withdrawn due to non-response or incomplete enrollment process.
The TX HHS Form 1070, Offer of Texas Home Living Program, helps individuals with intellectual or developmental disabilities access life-long services that meet their changing needs. This form is typically used by the Local Intellectual and Developmental Disability Authority (LIDDA) to offer waiver program services to eligible individuals.
The TX HHS Form 1080, Health and Developmental Services (HDS) Promotion and Outreach Annual Plan, helps organizations contracted with the HHSC program plan their promotional activities and outreach strategies for the year. This form is typically used by organizations that contract with the Breast and Cervical Cancer Services (BCCS), Family Planning Program (FPP), Healthy Texas Women Cost Reimbursement (HTW CR) programs.
The TX HHS Form 1084, Certification for Warrants Lost, Destroyed, Stolen, or Not Received, is a crucial document that helps resolve issues related to Treasury warrants. This form is typically used in situations where a warrant has gone missing, been destroyed, stolen, or not received by the intended recipient. The form's primary purpose is to certify the status of the warrant and facilitate its cancellation or reissuance.
The State of Texas Emergency Assistance Registry (STEAR) Form 1085 is a crucial tool for assisted living facilities and nursing homes to register their emergency contact information. This form helps ensure that critical details are readily available in the event of an emergency, allowing for swift communication and response.
