PDF
Word
Form 2123 Adaptive Aid / Minor Home Modification Request for Prior Approval - Texas
What Is Form 2123?
This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 2123?
A: Form 2123 is the Adaptive Aid/Minor Home Modification Request for Prior Approval.
Q: What is the purpose of Form 2123?
A: The purpose of Form 2123 is to request prior approval for adaptive aid or minor home modifications in Texas.
Q: What are adaptive aids and minor home modifications?
A: Adaptive aids are devices or equipment that help individuals with disabilities in daily activities. Minor home modifications are changes made to a home to accommodate someone with a disability.
Q: Do I need to fill out Form 2123 for adaptive aids or minor home modifications in Texas?
A: Yes, you need to fill out Form 2123 to request prior approval for adaptive aids or minor home modifications in Texas.
Q: What information do I need to provide on Form 2123?
A: You will need to provide detailed information about the adaptive aid or minor home modification, including the cost, purpose, and the impact it will have on the individual's independence and mobility.
Q: Who should I submit Form 2123 to?
A: Form 2123 should be submitted to the appropriate agency or department responsible for reviewing and approving adaptive aids or minor home modifications in Texas.
Q: Is there a deadline for submitting Form 2123?
A: The specific deadline for submitting Form 2123 may vary depending on the agency or department. It is best to check the instructions or guidelines provided with the form.
Q: Will all requests for adaptive aids or minor home modifications be approved?
A: Approval of requests for adaptive aids or minor home modifications depends on various factors, including eligibility criteria, available funding, and the individual's specific needs.
Q: Can I appeal a decision if my request is denied?
A: Yes, you can usually appeal a decision if your request for adaptive aid or minor home modification is denied. The process for appealing will be outlined by the agency or department responsible for reviewing the request.
Form Details:
- Released on May 1, 2009;
- The latest edition provided by the Texas Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form 2123 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
