Texas Health and Human Services

TX HHS Form 1043. Post-Move Monitoring

TX HHS Form 1043. Post-Move Monitoring

The TX HHS Form 1043, Post-Move Monitoring, is a crucial document that helps ensure the successful transition of individuals with intellectual or developmental disabilities from institutional settings to community-based care. This form is used in situations where individuals have transitioned or diverted from nursing facilities, medium or large community ICFIIID, or received Home and Community-based Services (HCS) crisis diversion slots.

TX HHS Form 1045. Request for Extension of Enrollment Offer Due Date

TX HHS Form 1045. Request for Extension of Enrollment Offer Due Date

The TX HHS Form 1045, Request for Extension of Enrollment Offer Due Date, is a crucial document that helps individuals with intellectual and developmental disabilities (IDD) or related conditions request an extension on their enrollment offer due date. This form is typically used by the Local Intellectual and Developmental Disability Authority (LIDDA) to facilitate the enrollment process in Home and Community-based Services (HCS) and Texas Home Living (TxHmL). The form is usually completed by a representative of LIDDA or an individual with IDD.

TX HHS Form 1046. Request for HCS Adult NF Transition Slot

TX HHS Form 1046. Request for HCS Adult NF Transition Slot

Form 1046 is a standardized document used by Local Intellectual and Developmental Disability Authorities (LIDDAs) in Texas to request a Home and Community-based Services (HCS) Adult Nursing Facility (NF) Transition Slot for an eligible individual. The form is an essential part of the transition process for adults with intellectual or developmental disabilities who currently reside in a nursing facility but wish to move to a community-based setting. It provides HHSC with the key information required to determine eligibility and allocate available transition slots.

TX HHS Form 3051. Statement of Self-Employment Income

TX HHS Form 3051. Statement of Self-Employment Income

Form 3051 is used by individuals who are self-employed and applying for health care assistance under the Primary Health Care Services Program, the Title V Fee-for-Service Program, or the Epilepsy Program. Because self-employment income is not documented through traditional pay stubs, the state requires applicants to provide a clear, itemized statement of how income was earned and what business expenses were incurred.

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TX HHS Form 3035. Kidney Health Care Program Application

TX HHS Form 3035. Kidney Health Care Program Application

Form 3035 is the official application used to enroll in the Texas Kidney Health Care (KHC) Program. This program provides financial help and care coordination for Texans living with end-stage renal disease (ESRD). The application may look straightforward at first glance, but every field matters—many delays occur because applicants overlook small details, forget supporting documents, or misunderstand what the program needs to verify eligibility.

TX HHS Form 2963. Admission of a Child from a Law Enforcement Officer

TX HHS Form 2963. Admission of a Child from a Law Enforcement Officer

The TX HHS Form 2963, "Admission of a Child from a Law Enforcement Officer," is a crucial document for recording essential information about children who are admitted to emergency shelters or child-placing agencies. This form helps solve the problem of ensuring that vital details about the child and their family are accurately documented in situations where law enforcement officers bring children into custody.

TX HHS Form 2971. Child Care Regulation Request for Background Check

TX HHS Form 2971. Child Care Regulation Request for Background Check

The TX HHS Form 2971, Child Care Regulation Request for Background Check, is a crucial document that helps solve the problem of ensuring background checks are conducted for individuals working in child care settings. This form is typically used by licensed child care centers, school-age programs, before- or after-school programs, and registered home-based child care providers to request background checks required by 26 Texas Administrative Code (TAC) Chapter 745 Subchapter F.