This version of the form is not currently in use and is provided for reference only. Download this version of Form 5920 for the current year.
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.
Q: What is Form 5920?
A: Form 5920 is the Txhml Waiver Program Self-assessment Certification form.
Q: What is the purpose of Form 5920?
A: The purpose of Form 5920 is to certify that an individual meets the eligibility criteria for the Txhml Waiver Program.
Q: Who is eligible for the Txhml Waiver Program?
A: To be eligible for the Txhml Waiver Program, an individual must meet certain criteria, such as having a developmental disability and requiring institutional-level care.
Q: What is the Txhml Waiver Program?
A: The Txhml Waiver Program is a Medicaid program in Texas that provides services and supports to individuals with developmental disabilities who would otherwise require institutional care.
Q: What is a self-assessment certification?
A: A self-assessment certification is a form where an individual certifies their own eligibility for a specific program or service.
Q: Why is the Txhml Waiver Program Self-assessment Certification important?
A: The Txhml Waiver Program Self-assessment Certification is important as it verifies the eligibility of an individual for the program and allows them to access necessary services and supports.
Q: What information is required on Form 5920?
A: Form 5920 requires information such as the individual's personal details, medical history, support needs, and documentation supporting their eligibility for the program.
Q: What should I do after completing Form 5920?
A: After completing Form 5920, it should be submitted to the appropriate Texas Health and Human Services Commission office for review and processing.
Q: Is there a deadline for submitting Form 5920?
A: The deadline for submitting Form 5920 may vary, so it's important to check with the Texas Health and Human Services Commission for the specific deadline for the current application cycle.
Form Details:
Download a fillable version of Form 5920 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.