Texas Health and Human Services Forms

This form is used for designating a representative in the state of Texas. It is typically used in legal or administrative proceedings where someone else is authorized to act on your behalf.

This type of document is used for designating a representative in Texas.

This Form is used for providing evidence of correction for residential reviews in the state of Texas.

This form is used for screening nursing tasks in Texas. It helps determine the level of nursing care required for patients.

This form is used for the Medicaid Estate Recovery Program in Texas. It is a worksheet that helps determine the amount of money owed to Medicaid from the estate of an individual who received Medicaid benefits.

This form is used for requesting partial reimbursement for the cost of installing a fire sprinkler system in a four-person residence in Texas.

This document is used for a Qualified Income Trust (QIT) copayment agreement in Texas.

This Form is used for requesting a due process hearing or mediation in the state of Texas.

This form is used for referring individuals or families to relocation services in the state of Texas. It helps facilitate the process of relocating to a new area within the state.

This form is used for the remission to transportation services in Texas. (Spanish)

This form is used for providing an overview of the Consumer Directed Services (CDS) option in Texas.

This form is used for entering into an agreement of participation in the state of Texas.

This form is used in Texas to provide an overview of the Service Responsibility Option (SRO) for Form 1581-SRO. It explains the responsibilities and options available for the SRO program.

This form is used for outlining the responsibilities and requirements for Consumer Directed Services in Texas.

This Form is used for documenting responsibilities when participating in client-administered services in Texas.

This form is used for outlining the roles and responsibilities of the Service Responsibility Option (SRO) in Texas. It details the options available to the SRO and their duties in providing services.

This form is used for consumer participation choice in Texas. It allows consumers to indicate their preference for participating in certain programs or services.

This form is used for acknowledging responsibility for exemption from nursing licensure for certain services delivered through Consumer Directed Services (CDS) in Texas.

This form is used for acknowledging information about support consultation services in the Consumer Directed Services (CDS) option in Texas.

This form is used for the Hcs Review Report in Texas. It is a document that reviews the Health and Human Services Commission's compliance with regulations and standards.

This Form is used for revising the Consumer Directed Services in Texas.

This form is used to request a fair hearing exception in Texas.

This form is used for RN delegation checklist in the state of Texas. It ensures that registered nurses properly delegate tasks to other healthcare staff.

This document is used for conducting an individualized skills assessment to regulate water temperature in Texas.

This form is used for annual reauthorization of the Consumer Directed Services Agreement for Community Attendant Services in Texas.

This form is used for submitting a billing resolution request in Texas. It is used to resolve any issues related to billing or payments.

This form is used for requesting a reconsideration of a prior authorization decision under the Texas Medicaid program.

This form is used for requesting a redetermination of level of care in Texas. It acts as a cover sheet to provide necessary information for the request.