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Texas Health and Human Services Commission Form H0926CPAA March 2013 Sharing Facts About Me and My Case Case Name Case No. (if any) By signing this form, I understand is helping me apply for HHSC.

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How to use or fill out the DADS Or HHSC Form online

Filling out the DADS Or HHSC Form online is a crucial step in applying for various Texas Health and Human Services Commission benefits. This guide provides clear instructions on how to navigate the form effectively, ensuring that you can complete it with confidence.

Follow the steps to successfully fill out the DADS Or HHSC Form online.

  1. Press the ‘Get Form’ button to obtain the DADS Or HHSC Form and open it in your preferred online document editor.
  2. Begin by entering your case name in the designated field at the top of the form. Ensure that you provide the full name as it appears in any official records.
  3. If you have a case number, input it in the ‘Case No.’ field. If you do not have a case number, you may leave this field blank.
  4. Review the statement regarding assistance from the Community Partner agency. This section outlines how they will help you apply for benefits and what personal information you may need to share. Make sure you understand this information.
  5. In the signature section, sign your name to indicate your understanding and agreement with the information provided on the form. If you cannot sign, make an appropriate mark (X) and prepare to provide witness signatures.
  6. Enter the date of your signature in the designated area. This should reflect the date you complete the form.
  7. If you made a mark instead of a signature, ensure that two witnesses sign below your mark, or document the reason for one witness if necessary. Input their signatures and dates.
  8. After all required fields are filled out, review the form for accuracy. Confirm that all names, dates, and information are correct.
  9. Once satisfied with the content, use the features of your online document editor to save changes, download, print, or share the form as required.

Begin the process of obtaining your DADS Or HHSC Form online today!

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Overview. HHSC manages programs that help families with food, health care, safety, and disaster services including the Women, Infants, and Children (WIC), Children's Medicaid, and Supplemental Nutritional Assistance (SNAP) programs.

Entities complete Form 3684 to apply for enrollment in Texas Medicaid and existing providers to re-enroll in Texas Medicaid.

Texas Health and Human Services (HHS) HHS consists of two departments: The Health and Human Services Commission (HHSC); and the Department of State Health Services (DSHS).

Form 1024 is used to document the waiver benefits that result in an Individual Service Plan (ISP) or Individual Plan of Care (IPC) exceeding the assigned cost ceiling and to establish the medical need and rationale for these items or services.

Executive Commissioner Cecile Erwin Young.

Texas Department of Aging and Disability Services (DADS) The 84th Texas Legislature, 2015, abolished this agency effective Sept. 1, 2017. DADS services were transferred to HHSC.

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