Learn about the Medicaid 1115 Transformation Waiver Renewal.
For information about COVID-19, call 2-1-1 and select Option 6.
Find a COVID-19 testing site | COVID-19 vaccine | More COVID-19 information
Displaying 26 - 50 of 445 forms.
ES = Spanish version available.
- Form 1047, Request for HCS Targeted NF Diversion Slot
- Form 1048, Summary Sheet for Services to Individuals with IDD in a Nursing Facility
- Form 1049, Initial Documentation of Provider Choice ES
- Form 1050, Nursing Facility or Crisis Diversion Plan
- Form 1051, Request for Determination of Intellectual Disability (DID)
- Form 1052, Public Provider Choice Request ES
- Form 1053, Transition Plan
- Form 1054, Community Living Options
- Form 1056, Case Transfer Letter
- Form 1057, Habilitation Service Plan (HSP)
- Form 1058, Request for Home and Community-based Services Crisis Diversion Slot
- Form 1059, Family Planning Program Professional Development Activities Annual Report
- Form 1060, Health and Developmental Services (HDS) Promotion and Outreach Quarterly Report Promotion and Outreach Quarterly Report
- Form 1061, Class D Pharmacy License Exemption Request
- Form 1062, Zika Supplies
- Form 1063, Individual Profile – Nursing Facility
- Form 1064, Habilitative Assessment
- Form 1065, Eligibility Application ES
- Form 1066, Transfer Request for PASRR DME and CMWC
- Form 1067, Offer of Home and Community-based Services (HCS) Program ES
- Form 1068, Withdrawal of Offer for Home and Community-based Services (HCS) Program ES
- Form 1069, Withdrawal of Offer of Texas Home Living Program ES
- Form 1070, Offer of Texas Home Living Program ES
- Form 1080, Health and Developmental Services (HDS) Promotion and Outreach Annual Plan
- Form 1084, Certification for Warrants Lost, Destroyed, Stolen or Not Received ES