TX HHS Form 1048. Summary Sheet for Services to Individuals with IDD in a Nursing Facility

TX HHS Form 1048. Summary Sheet for Services to Individuals with IDD in a Nursing Facility

The TX HHS Form 1048, Summary Sheet for Services to Individuals with IDD in a Nursing Facility, is a practical tool designed to track and document services provided to individuals with intellectual disability disorder (IDD) residing in nursing facilities. This form helps solve the problem of ensuring accurate and comprehensive record-keeping of services rendered, allowing for effective monitoring and evaluation of care.

The form requires essential information such as the individual's name, local case number, and description of service provided, along with the unit rate and total cost. Key features include the categorization of services into different units (e.g., behavioral support per hour) and the option to add lines for additional services. The form also includes a certification section, where the submitter confirms compliance with instructions.

This summary sheet is typically used by local authorities, service providers, and care coordinators to document and track services provided to individuals with IDD in nursing facilities. By using this form, these stakeholders can ensure accurate and timely reporting of services, facilitating better care planning and coordination. Key points to note include:

  • The form is used for tracking services provided to individuals with IDD in nursing facilities.
  • It requires essential information such as the individual's name, local case number, and service description.
  • The form includes a certification section, where the submitter confirms compliance with instructions.
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SourcePage: 
https://www.hhs.texas.gov/regulations/forms/1000-1999/form-1048-summary-sheet-services-individuals-idd-a-nursing-facility