Texas Health and Human Services

The TX HHS Form 6507, "Rationale for Adaptive Aids, Medical Supplies, and Minor Home Modifications," is a crucial document that helps individuals with deaf-blind multiple disabilities obtain necessary adaptive aids, medical supplies, and minor home modifications. This form is typically filled out by healthcare professionals or service providers to support the individual's treatment, rehabilitation, or ability to compensate for functional limitations.

The TX HHS Form 6506, Home and Community-based Services (HCS) and Texas Home Living (TxHmL) Employment Readiness Service Delivery Log, is a practical tool used to track employment readiness activities for individuals receiving home and community-based services. This form helps solve the problem of monitoring progress towards employment goals and ensuring that necessary support services are being provided.

The TX HHS Form 6505, Daily Census Documentation, helps solve the problem of tracking daily census data for Assisted Living Services, Licensed Home Health, and other related facilities. This form is typically used by timekeepers or designated staff members to record daily resident information, including names, dates, and totals.

The TX HHS Form 6504, Prior Authorization for Dental Services, is a crucial tool for healthcare professionals to obtain approval for dental services in the Deaf Blind with Multiple Disabilities (DBMD) program. This form helps solve the problem of ensuring that dental care is authorized and aligned with an individual's plan of care.

The TX HHS Form 6503, DBMD and CFC Summary of Services Delivered, is a crucial document that helps service providers summarize the services they have delivered to individuals with Health and Human Deaf Blind with Multiple Disabilities (DBMD) and Community First Choice (CFC). This form is typically used in situations where service providers need to record and report the services they have provided to these individuals.

The TX HHS Form 6502, Denial of Application for DB-MD, is a crucial document that helps resolve issues related to the denial of applications for enrollment in the Deaf-Blind Multiple Disabilities Medicaid Waiver (DB-MD) Program. This form is typically used by individuals who have had their application denied and are seeking to appeal the decision.

The TX HHS Form 6501, Individual Program Plan, is a crucial document that helps solve the problem of creating personalized care plans for individuals with Deaf Blindness and Multiple Disabilities (DBMD) under the DBMD Waiver. This form is typically used by program providers to develop individualized plans that cater to the unique needs and goals of each participant.

The TX HHS Form 6500-T, DBMD and CFC IPC Service Delivery Transfer Worksheet, is a crucial tool for ensuring seamless transitions in healthcare services. This form helps facilitate the transfer of services from one provider to another, streamlining the process for individuals with Deaf Blindness with Multiple Disabilities (BMD) or Community First Choice (CFC) IPC needs.

The TX HHS Form 8007, ICF/IID RN Delegation Worksheet for 22 TAC Section 225, is a practical tool designed to help registered nurses (RNs) delegate tasks to unlicensed personnel in the Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) setting. This form helps solve the problem of ensuring that essential nursing tasks are performed safely and effectively by authorized staff.

The TX HHS Form 8006, ICF/IID Comprehensive Nursing Assessment, is a practical tool designed to help healthcare professionals assess the health status of individuals with intellectual or developmental disabilities. This form is typically used in situations where ongoing care and support are required, such as in residential settings or community-based programs.