| 0702 | Fax Cover Sheet for TxHmL and HCS | |
| 1570 | ICF Request for Medical Need Assessment or Verification of RUG-III Category | |
| 1572 | Nursing Tasks Screening Tool | ES |
| 1573 | Residential Review Evidence of Correction | |
| 1580 | Texas Money Follows the Person Demonstration Project Informed Consent for Participation | ES |
| 1581 | Consumer Directed Services Option Overview | ES |
| 1582 | Consumer Directed Services Responsibilities | ES |
| 1583 | Employee Qualification Requirements | ES |
| 1584 | Consumer Participation Choice | ES |
| 1586 | Acknowledgement of Information Regarding Support Consultation Services in the Consumer Directed Services (CDS) Option | ES |
| 1588 | HCS Review Report | |
| 1592 | RN Delegation Checklist | |
| 1594 | Individualized Skills Assessment for Regulating Water Temperature | |
| 1597 | Level of Care Redetermination Cover Sheet | |
| 1740 | Service Backup Plan | ES |
| 1741 | Corrective Action Plan | ES |
| 1742 | Service Backup Plan for HCS, TxHmL and CFC Services | |
| 1748 | HCS/CFC Entrance Conference | |
| 2067 | Case Information | |
| 2124 | Supported Home Living/Community Support Transportation Log | ES |
| 2125 | Home and Community-based Service (HCS), Texas Home Living (TxHmL) and Community First Choice (CFC) Implementation Plan | |
| 3598 | Individual Transportation Plan | |
| 3605 | HCS Parent or Legally Authorized Representative (LAR) Contact Information for Individuals Under 22 Years of Age | ES |
| 3608 | Individual Plan of Care (IPC) - HCS/CFC | ES |
| 3610 | Informal Review Request | |
| 3611 | Involuntary Termination of Consumer Directed Services (CDS) Individual Plan of Care (IPC) Cover Sheet (HCS and TxHmL) | |
| 3615 | Request to Continue Suspension of Waiver Program Services | |
| 3616 | Request for Termination of Services Provided by HCS/TxHmL Waiver Provider | |
| 3617 | Request for Transfer of Waiver Program Services | |
| 4116-Dental | Dental Summary Sheet | |
| 4116-MHM-AA | Minor Home Modification/Adaptive Aids Summary Sheet | |
| 4119 | Residential Support Services (RSS) and Supervised Living (SL) Service Delivery Log | |
| 4121 | Home and Community-based Services/Texas Home Living Community First Choice Personal Assistance Services/Habilitation | ES |
| 4122 | Host Home/Companion Care Service Delivery Log | ES |
| 4123 | Nurse Services Delivery Log - Billable Activities | ES |
| 5604 | HCS Program Provider Request for Life Safety Inspection | |
| 5606 | Life Safety Code Certification | |
| 8401 | Employment First Discovery Tool | |
| 8490 | Medical Increase Worksheet | |
| 8491 | Request for a Four-Person Residence Approval | |
| 8492 | Random Sample Review of Nursing On-Call Required Submission of Documentation | |
| 8493 | Notification Regarding a Death in HCS, TxHmL and DBMD Programs | |
| 8494 | Notification Regarding An Investigation of Abuse, Neglect or Exploitation | |
| 8495 | Exclusion of Host Home/Companion Care (HH/CC) Provider from the Board of Nursing (BON) Definition of Unlicensed Person | |
| 8509 | Unlicensed Personnel Tracking of Delegated Tasks | |
| 8510 | HCS/TxHmL CFC PAS/HAB Assessment | |
| 8511 | Understanding Program Eligibility | ES |
| 8574 | Administration of Medications by Unlicensed Personnel | |
| 8575 | Notification of Local Authority (LA) Reassignment | |
| 8576 | Individual Profile Information | |
| 8578 | Intellectual Disability/Related Condition Assessment | |
| 8579 | Notification of Service Coordinator (SC) Disagreement | |
| 8580 | Request for Variance of Supported Employment - Employer Requirements | |
| 8583 | HCS and TxHmL Program Contact Information | ES |
| 8584 | Nursing Comprehensive Assessment | |
| 8584-CDS | Comprehensive Nursing Assessment and Plan of Care - HCS Program | ES |
| 8599 | Individual Plan of Care (IPC) Cover Sheet | |
| 8601 | Verification of Freedom of Choice | ES |
| 8603 | Level of Need (LON) Review/Increase Cover Sheet | |
| 8604 | Transition Assistance Services (TAS) Assessment and Authorization | |
| 8611 | Pre-Enrollment MHM Authorization Request | ES |
| 8612 | TAS/MHM Payment Exception Request | ES |
| 8647 | Service Coordination Assessment – Intellectual Disability Services | |
| 8662 | Related Conditions Eligibility Screening Instrument | |
| 8665 | Person-Directed Plan | ES |
| 8665-ID | Individual Data | |