Get Tx Hhs 8599 2016-2025

The TX HHS 8599 form, known as the Individual Plan of Care Cover Sheet, is an essential document used for service requests in various programs, including Home and Community-based Services. This guide provides clear, step-by-step instructions on how to complete this form effectively online.

Follow the steps to fill out the TX HHS 8599 online

1. Press the ‘Get Form’ button to access the TX HHS 8599 form and open it in your online editor.
2. Begin by checking the appropriate program type: either 'Home and Community-based Services (HCS)' or 'Texas Home Living (TxHmL)'.
3. In the 'To' section, provide the mailing address for the Texas Health and Human Services Commission along with the physical address.
4. Next, fill out the 'From' section, which includes the provider name, component code, contract number, and all relevant provider contact information.
5. Input individual information under the 'Individual Information' section, providing necessary details such as name, CARE ID Number, Medicaid Number, date of birth, and local case number.
6. For the IPC Review section, check the corresponding box for renewal, revision, transfer to program provider, or transfer to consumer-directed services option.
7. Indicate the IPC revision date, begin date, and end date as applicable.
8. Address the language translation requirement by selecting 'Yes' or 'No' and specifying any required language if you selected 'Yes'.
9. Ensure the individual’s and legally authorized representative’s contact information is current as stated in the requirements.
10. Review all provided information to ensure accuracy; make any necessary edits before submitting.
11. Once completed, you can save changes, download the form, print it, or share it as needed.

Take action now and complete your TX HHS 8599 form online for efficient processing.