TX HHS Form 3087. TMHP Confidentiality Agreement
The TX HHS Form 3087, TMHP Confidentiality Agreement, is a crucial document that ensures the confidentiality, integrity, and continuity of information resources for the County Indigent Health Care Program (CIHCP).
TX HHS Form 3086. End of Year Report
Form 3086 is the official End of Year Report used by entities participating in the Texas County Indigent Health Care Program (CIHCP).
TX HHS Form 3085. Statement of Self-Employment Income
The TX HHS Form 3085, Statement of Self-Employment Income, is a crucial document for individuals who earn income through self-employment. This form helps solve the problem of accurately reporting self-employment income to the County Indigent Health Care Program (CIHCP).
TX HHS Form 3084. Employment Verification
The TX HHS Form 3084, Employment Verification, helps determine the eligibility of a household applying for health care assistance from the County Indigent Health Care Program (CIHCP). This form is used to verify all earnings of an individual who is, was, or will be employed by another person.
TX HHS Form 3083. Optional Health Care Services Notification
The TX HHS Form 3083, Optional Health Care Services Notification, is a crucial document that helps counties in Texas notify the state of their optional health care services.
TX HHS Form 3082. Notice of Ineligibility
The TX HHS Form 3082, Notice of Ineligibility, is a crucial document for individuals who have applied for County Indigent Health Care Program (CIHCP) benefits but have been denied.
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.
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.
TX HHS Form 1044. Refusal of Habilitation Coordination
The TX HHS Form 1044, Refusal of Habilitation Coordination, is a document used by individuals or their legally authorized representatives to decline habilitation coordination services.
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.