Texas Health and Human Services

TX HHS Form 5511-NATCEP. Request to Take the Competency Evaluation Program (CEP) Based on Military Training as a Nurse Aide

TX HHS Form 5511-NATCEP. Request to Take the Competency Evaluation Program (CEP) Based on Military Training as a Nurse Aide

The TX HHS Form 5511-NATCEP is a request form for individuals who have completed military training equivalent to civilian nurse aide training and wish to take the Competency Evaluation Program (CEP) in Texas. This form helps solve the problem of obtaining approval to take the CEP, which is required for nurse aides seeking certification.

TX HHS Form 5510-NATCEP. Request to Take the Competency Evaluation Program (CEP) Based on Approved Nurse Aide Training Out of State

TX HHS Form 5510-NATCEP. Request to Take the Competency Evaluation Program (CEP) Based on Approved Nurse Aide Training Out of State

The TX HHS Form 5510-NATCEP is a request form for individuals who have completed nurse aide training out of state to take the Competency Evaluation Program (CEP) in Texas. This form helps solve the problem of allowing trained nurse aides from other states to demonstrate their competence and gain certification in Texas, facilitating their employment and career advancement.

TX HHS Form 5507-NAR. Request for Waiver of Nurse Aide Training and Competency Evaluation

TX HHS Form 5507-NAR. Request for Waiver of Nurse Aide Training and Competency Evaluation

The TX HHS Form 5507-NAR, Request for Waiver of Nurse Aide Training and Competency Evaluation, is a crucial document that helps individuals who completed a nurse aide training program prior to July 1, 1989, request a waiver from the Texas Nurse Aide Registry. This form is typically used by those who have already completed a training program and are seeking to be placed on the registry.

TX HHS Form 5150. Family Service Plan

TX HHS Form 5150. Family Service Plan

This document provides a structured support plan for children who are blind or visually impaired and their families. Form 5150 is used by the Division for Blind Services (DBS) to outline goals, services, and responsibilities that help a child build independence, develop core life skills, and explore early vocational interests. Although the form appears administrative, it serves as a roadmap that coordinates multiple agencies and specialists working together to support a child’s development.

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TX HHS Form 4807-D. Action Taken on Hearing Decision

TX HHS Form 4807-D. Action Taken on Hearing Decision

Form 4807-D is used by Texas Health and Human Services (HHS) staff to document how a local office handled a fair hearing decision. Although the form looks administrative, it plays an important legal role: it confirms when a hearing decision was received, what action the agency took, whether benefits were restored, and whether delays occurred. For anyone involved in appeals within public assistance programs, this form is the official record that shows the agency followed the Hearing Officer’s ruling.

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TX HHS Form 5026. HIPP Summary of Insurance Expenditure Request

TX HHS Form 5026. HIPP Summary of Insurance Expenditure Request

This document, officially known as Form 5026: Summary of Insurance Expenditure Request, is used within the Texas Health Insurance Premium Payment (HIPP) program. The form allows families to report out-of-pocket medical and prescription expenses for Medicaid-eligible household members who are covered under an employer-sponsored insurance plan. Although the form is short, it plays an important administrative role: it ensures that families receive the correct reimbursement or premium assistance under the HIPP program.

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TX HHS Form 5007. CMBHS Access Request and User Agreement

TX HHS Form 5007. CMBHS Access Request and User Agreement

Form 5007, titled “CMBHS Access Request and User Agreement”, is a mandatory document for behavioral health providers in Texas who need access to the Clinical Management for Behavioral Health Services (CMBHS) system. This form is not a casual administrative sheet — it is a legal agreement between a provider organization and the Texas Health and Human Services System Agency. It determines who is allowed to access sensitive behavioral health data, under what conditions, and with what responsibilities.