Forms | Texas Health and Human Services
HHS forms are used every day to perform tasks such as applying for benefits, contracting to provide goods or services, reporting incidents, declaring end of life wishes, and conducting …
HCS Forms - Texas Health and Human Services
14000, Long-Term Care Regulatory 15000, Review of Authority 16000, Individual Rights and Complaints 17000, Critical Incident and Death Reporting 18000, Reserved for Future Use …
TWH Forms | Texas Health and Human Services
Part E, Former Foster Care Children Part F, Former Foster Care in Higher Education Part M, Medicaid for Transitioning Foster Care Youth Part R, Refugee Medical Assistance Part W, …
MEPD Forms | Texas Health and Human Services
Home Handbooks Medicaid for the Elderly and People with Disabilities Handbook MEPD Forms
Form H1200, Application for Assistance – Your Texas Benefits
English and Spanish forms can be found under the title Form to apply for Medicaid for the Elderly and People with Disabilities or Medicare Savings Program (H1200), under the Forms to apply …
SPH Forms | Texas Health and Human Services
7000, STAR+PLUS HCBS Program and Services 8000, Service Delivery Options 9000, Utilization Review Purpose 10000, State Plan Long Term Services and Supports 11000, Nursing Facility …
TxHmL Forms | Texas Health and Human Services
Texas Home Living (TxHmL) Program Left Menu Chapter 9 TxHmL Appendices TxHmL Forms TxHmL Documents TxHmL Revisions TxHmL Contact Us
HCS and TxHmL Forms and Tools - Texas Health and Human …
HHSC does not require providers to use the sample forms listed below. A provider can use these sample forms as they are, modify the forms to fit a facility's needs or elect to create its own forms.
CLASS Forms - Texas Health and Human Services
1000, Introduction 2000, Case Management Agency (CMA) 3000, Direct Services Agency (DSA) 4000, Consumer Directed Services (CDS) 5000, Utilization Review (UR) 6000, Contract …
Form H1826, Case Information Release - Texas Health and Human …
Form H1826, Case Information Release Instructions for Opening a Form Some forms cannot be viewed in a web browser's PDF viewer and must be opened in the Adobe Reader application …