Texas Health and Human Services

Texas Form H0050, the Parent Profile Questionnaire, is used by the Texas Health and Human Services Commission (HHSC) to gather accurate information about an absent parent when a family applies for certain state benefits. The form helps the agency determine child support cooperation requirements and verify eligibility for assistance programs. Although the document looks simple at first glance, it carries real legal significance—incorrect or incomplete information can affect benefit eligibility or trigger repayment obligations.

Form 8616, updated in February 2023, is a weekly service delivery log used in the Texas Home and Community-Based Services (HCS) and Texas Home Living (TxHmL) programs. It documents every instance of in-home Individualized Skills and Socialization services provided to a person enrolled in these Medicaid waiver programs.

Form 8666, titled Volunteer Orientation Agreement, is an internal compliance document used by organizations that engage volunteers, particularly in healthcare, social services, or community-based programs. The form confirms that a volunteer has received mandatory orientation, training, and informational materials before beginning any volunteer activities, and that they understand and agree to follow established rules and standards.

Form 8654 (April 2025) is the official application used to request admission to a Texas State Supported Living Center (SSLC). These centers provide long-term residential services, health care, behavioral support, and habilitation for people with intellectual or developmental disabilities who cannot safely or effectively live in a community setting. The application is detailed for a reason: each SSLC must verify legal authority, medical needs, and eligibility before approving an admission.

The TX HHS Form H0010, Application for Advisory Committee Membership, helps individuals apply for membership on the Palliative Care Interdisciplinary Advisory Council. This form is typically used by professionals seeking to contribute their expertise to the council, as described in House Bill (H.B.) 1874, 84th Legislature, Regular Session, 2015.

This page explains Form H0011-R (Texas Simplified Application Project — TSAP) used to renew Supplemental Nutrition Assistance Program (SNAP) benefits under special simplified rules. The renewal targets households made up entirely of elderly (60+) or people receiving disability payments and with no earned income. Below you will find a clear, practical guide to what the form asks, who should file it, common pitfalls, what to attach, and concise answers to frequent questions.

The Policy Clarification Request (PCR) Form H0005, issued by Texas Health and Human Services (HHS), is a tool designed to help resolve policy-related questions or concerns. This form is typically used in situations where there is uncertainty about the application of a specific policy or procedure, particularly in the Medicaid for the Elderly and People with Disabilities (MEPD) and Texas Works (TW) programs.

The TX HHS Form H0004, Consent for a Person Sponsoring an Immigrant, is a crucial document that helps facilitate the application process for state benefits by immigrants. This form is typically used in situations where an individual is applying for benefits and has identified someone as their sponsor.

The Agreement to Release Your Facts (Form H0003) is a crucial document for individuals seeking or receiving benefits from the Texas Health and Human Services Commission (HHSC). This form enables HHSC to verify facts about you or your spouse, facilitating the application process and ensuring accurate benefit disbursement.

The TX HHS Form 8729, ICF/IID ACD Delivery and Completion of Purchase Confirmation, is a crucial document that helps solve the problem of ensuring the delivery and completion of augmentative communication devices (ACDs) for individuals with intellectual or developmental disabilities. This form is typically used in situations where an individual requires an ACD system to facilitate effective communication.