ES = Spanish version available.

1019Opportunity to Register to Vote/Declination 
1040CFC Non-Waiver Packet Information and Checklist 
1042Pre-Move Site Review 
1043Post-Move Monitoring 
1045Request for Extension of Enrollment Offer Due Date 
1049Initial Documentation of Provider ChoiceES
1050Nursing Facility or Crisis Diversion Plan 
1051Request for Determination of Intellectual Disability (DID) 
1052Public Provider Choice RequestES
1058Request for Home and Community-based Services Crisis Diversion Slot 
1067Offer of Home and Community-based Services (HCS) ProgramES
1068Withdrawal of Offer for Home and Community-based Services (HCS) ProgramES
1069Withdrawal of Offer of Texas Home Living ProgramES
1070Offer of Texas Home Living ProgramES
1570ICF Request for Medical Need Assessment or Verification of RUG-III Category 
1580Texas Money Follows the Person Demonstration Project Informed Consent for ParticipationES
1581Consumer Directed Services (CDS) Option OverviewES
1582Consumer Directed Services ResponsibilitiesES
1586Acknowledgement of Information Regarding Support Consultation Services in the Consumer Directed Services (CDS) OptionES
1595Billing Resolutions Request 
2060-BNeeds Assessment AddendumES
2260Permanency Planning Instrument (PPI) for Children Under 22 Years of Age (Family Directed Plan)ES
3608Individual Plan of Care (IPC) – HCS/CFCES
5842TxHmL Financial Eligibility Information 
8001Medicaid Estate Recovery Program Receipt AcknowledgementES
8510HCS/TxHmL CFC PAS/HAB Assessment 
8511Understanding Program Eligibility and ServicesES
8515Guidelines for Determining Less Restrictive Setting 
8571Request to Change Interest List Information for Home and Community-based Services (HCS) or Texas Home Living (TxHmL) 
8577Questionnaire for LTSS Waiver Program Interest Lists 
8578Intellectual Disability/Related Condition Assessment 
8578-CFCIntellectual Disability/Related Condition Assessment for CFC 
8582Individual Plan of Care – TxHmL/CFC 
8586TxHmL Service Coordination NotificationES
8590Request for Approval to Withdraw an Enrollment Offer 
8591Community Services Interest List (CSIL) Data Entry 
8592Deadline NotificationES
8601Verification of Freedom of ChoiceES
8630Continuity of Care 
8647Service Coordination Assessment – Intellectual Disability Services 
8648Identification of PreferencesES
8654State Supported Living Center (SSLC) Admission Application 
8662Related Conditions Eligibility Screening Instrument 
8665Person-Directed PlanES
8665-IDIndividual Data 
H1003Appointment of an Authorized RepresentativeES
H1200Application for Assistance – Your Texas BenefitsES
H1746-AMEPD Referral Cover Sheet 
H6516Community First Choice AssessmentES
SSA-1020Application for Extra Help with Medicare Prescription Drug Plan Costs